DR. ERIK BRIAN GONZALEZ (NPI# 1700197134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700197134 |
| Entity Type | Individual |
| Full Name | DR. ERIK BRIAN GONZALEZ |
| Credential | D.D.S. |
| Practice Address |
21 Scotch Pine Dr Medford NY 11763-4220 |
| Mailing Address |
124 Main St Suite 4 Huntington NY 11743-6922 |
| Practice Telephone | 6312412139 |
| Mailing Telephone | 6314219494 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
054357-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758727 | Erik Gonzalez | Counselor | 711 N Court St, Visalia, CA 93291-3638 | 2019-12-30 |
| 1447632898 | Erik Antonio Gonzalez | Student in an Organized Health Care Education/Training Program | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2015-06-22 |
| 1699096990 | Erik Gonzalez | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2010-06-21 |
| Street Address |
21 SCOTCH PINE DR |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1780974477 | Medford Endodontics, LLC | Dentist | Zero Governors Avenue, Suite 30, Medford, MA 02155-3006 | 2011-04-14 |
| 1629300272 | Henry Lucien Harbert | Dentist | 691 Murphy Rd., Ste 204, Medford, OR 97504 | 2010-02-08 |
| 1043470479 | Matt Gebhardt | Dentist | 831 Alder Creek Dr, Medford, OR 97504-8900 | 2008-06-10 |
| 1073789582 | Marlene Imelda Oviedo-marmo | Dentist | 30 Jackson Rd Ste C2, Medford, NJ 08055-9281 | 2008-05-05 |
| 1932197019 | Gerald B. Leiber | Dentist | 0 Governors Ave, Suite 30, Medford, MA 02155-3025 | 2005-10-12 |
| 1194722892 | Michael Curtis Hall | Dentist | 2952 Lazy Creek Dr, Medford, OR 97504-8182 | 2005-07-07 |
| 1396983169 | Cary James Cunningham | Dentist | 2924 Siskiyou Blvd, Suite 204, Medford, OR 97504-8194 | 2009-01-31 |
| 1548436009 | Carl Lewis Tinkelman | Dentist | 30 Jackson Rd, Suite C-2, Medford, NJ 08055-9283 | 2008-05-05 |
| 1528272721 | Gerald B. Leiber, D.m.d., P.C. | Dentist | 0 Governors Ave, Suite 30, Medford, MA 02155-3025 | 2007-05-09 |
| Find all providers in MEDFORD | ||||
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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.