DR. JOHNNY GONZALEZ (NPI# 1578039491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578039491 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY GONZALEZ |
| Credential | DMD |
| Practice Address |
18503 Pines Blvd Ste 304 Pembroke Pines FL 33029-1406 |
| Practice Telephone | 9544381965 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN23289 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952648776 | Johnny Manuel Gonzalez | Counselor | 328 Main St, Southbridge, MA 01550-3794 | 2013-01-14 |
| Street Address |
18503 PINES BLVD STE 304 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33029-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669885752 | Stephane Dieudonne Dds, Pa | Dentist | 14824 Pines Blvd, Pembroke Pines, FL 33027-1222 | 2014-06-05 |
| 1093998619 | Brian K Bons | Dentist | 1637 N Hiatus Rd, Pembroke Pines, FL 33026-2129 | 2007-12-06 |
| 1205057700 | Albert Lucas | Dentist | 10056 Pines Blvd., Pembroke Pines, FL 33156 | 2007-05-01 |
| 1750831921 | Ricardo Chang Dds Pa | Dentist | 9646 Pines Blvd, Pembroke Pines, FL 33024-6241 | 2016-10-11 |
| 1104278910 | Orthosmiles,p.a. | Dentist | 302 Nw 179th Ave, Suite#201-a, Pembroke Pines, FL 33029-2818 | 2016-07-05 |
| 1972919132 | Simply Smile Orthodontics of Pembroke Pines, LLC | Dentist | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2014-07-09 |
| 1942613450 | M.khakhria Dmd Ms Pa | Dentist | 10051 Pines Blvd, Suite C, Pembroke Pines, FL 33024-6186 | 2014-06-03 |
| 1255775649 | Simply Smile Orthodontics of Pembroke Pines, LLC | Dentist | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2013-04-29 |
| 1912283136 | Marissa Nicole Cooper | Dentist | 140 S University Dr, Pembroke Pines, FL 33025-2234 | 2011-11-02 |
| 1194057620 | Bradley Hunt Santelli | Dentist | 10271 Pines Blvd, Pembroke Pines, FL 33026-6008 | 2010-02-09 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33029 |
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| 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.