DAVID GONGORA (NPI# 1558862599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558862599 |
| Entity Type | Organization |
| Organization Name | DAVID GONGORA |
| Other Organization Name | DAVID GONGORA |
| Practice Address |
Blvd El Mirador #548 - 1 Tijuana BAJA CALIFORNIA 22520 MX |
| Practice Telephone | 6194883200 |
| Practice Fax Number | 8662726924 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Authorized Official Name | DR. DAVID GONGORA (DENTIST) |
| Authorized Official Telephone | 6194883200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7593837 | Dental Providers |
| Other Name | Type Code |
|---|---|
| David Gongora | Former Legal Business Name - Organization |
| Street Address |
BLVD EL MIRADOR #548 - 1 |
| City | TIJUANA |
| State | BAJA CALIFORNIA |
| Zip Code | 22520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487177341 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 15748 Kings Hwy, Po Box 429, Montross, VA 22520 | 2017-07-24 |
| 1730488172 | Tonya Sanders | Pharmacist | 15748 Kings Highway Rt 3, Rite Aid, Montross, VA 22520 | 2011-03-24 |
| 1407039126 | Westmoreland County | Ambulance | 111 Polk Street, Montross, VA 22520 | 2007-12-17 |
| 1952449084 | Penny Page Snyder-morris | Nurse Practitioner | 18849 Kings Highway, Montross, VA 22520 | 2007-02-01 |
| 1245252329 | Montross Volunteer Rescue Squad | Ambulance | 72 Llyells St, Montross, VA 22520 | 2006-07-24 |
| 1487191037 | Complete Care Medical Group | Durable Medical Equipment & Medical Supplies | 721 Charlotte St., Tappahannock, VA 22520 | 2017-01-20 |
| 1972948560 | Abraham Mohammed Younoszai | Dentist | 18849 Kings Hwy, Montross, VA 22520 | 2013-05-08 |
| 1306975875 | Central Virginia Health Services Inc | Clinic/Center | 18849 Kings Highway, Montross, VA 22520 | 2007-03-02 |
| 1558465658 | Westmoreland County Dental Clinic | Public Health or Welfare | 18849 Kings Hwy, Montoss, VA 22520 | 2006-09-11 |
| 1881657211 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 18849 King's Hwy, Montross, VA 22520-0303 | 2006-04-07 |
| Find all providers in zip 22520 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811508 | Elvia Arevalo | Dentist | Ingenieros 201-6, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
| 1225639784 | Pamela Moreno | Dentist | Calzada Tecnologico 13701, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
| 1134720691 | Karla Moreno | Dentist | Blvd Sanchez Taboada 16004-6, Tijuana, BAJA CALIFORNIA 22010 | 2020-11-02 |
| 1811597693 | Mayra G Garibay | Dentist | Leona Vicario #301, Tijuana, BAJA CALIFORNIA 22320 | 2020-10-29 |
| 1275158610 | Hector Nunez | Dentist | Calle 5ta Emiliano Zapata #7617-2, Zona Centro, Tijuana, BAJA CALIFORINA 22000 | 2020-06-11 |
| 1992320337 | Hector Nunez | Dentist | Calle 5ta Emiliano Zapata #7617-2, Zone Centro, Tijuana, BAJA CALIFORINA 22000 | 2020-06-11 |
| 1376168047 | Imelda Barreto | Dentist | Blvd Fundadores 6714 Ste A, Tijuana, BAJA CALIFORNIA 22626 | 2020-06-09 |
| 1477181345 | Krisbell M Adame | Dentist | Calle 8 #8817, Tijuana, BAJA CALIFORNIA 22000 | 2020-03-27 |
| 1275161143 | Alejandra I Perez | Dentist | 2089 Luis Cabrera, Tijuana, BAJA CALIFORNIA 22000 | 2020-03-27 |
| 1811522923 | Sergio R Mercado | Dentist | Ave Saturnino 5912, Tijuana, BAJA CALIFORNIA 22195 | 2020-03-09 |
| Find all providers in TIJUANA | ||||
Please comment or provide details below to improve the information on DAVID GONGORA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.