DR. NELLY GONZALEZ (NPI# 1730317660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730317660 |
| Entity Type | Individual |
| Full Name | DR. NELLY GONZALEZ |
| Credential | DDS |
| Practice Address |
9910 W Loop 1604 N Ste 122 San Antonio TX 78254-5610 |
| Practice Telephone | (210) 679-4747 |
| Practice Fax Number | 2106794748 |
| Mailing Telephone | (210) 679-4747 |
| Mailing Fax Number | 2106794748 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
24675 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275745739 | Nelly Jezelle Gonzalez | Rehabilitation Practitioner | 1343 Constance St, Los Angeles, CA 90015-2709 | 2007-05-04 |
| 1053352997 | Nelly Gonzalez | Family Medicine | 7617 Little River Tpk, Suite 600, Annandale, VA 22003 | 2006-06-10 |
| 1649671470 | Nelly Gonzalez | Counselor | 5005 Texas St Ste 203, San Diego, CA 92108-3723 | 2014-09-11 |
| Street Address |
9910 W LOOP 1604 N STE 122 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78254-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386807360 | Dentistry for Little Folks | Dentist | 9910 W Loop 1604 N Ste 122, San Antonio, TX 78254-5610 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1083222384 | Deshannon Stamps | Registered Nurse | 8745 Fischer Falls, San Antonio, TX 78254 | 2020-07-22 |
| 1962041558 | Synergenx Health - Alamo Ranch San Antonio LLC | Clinic/Center | Culebra Commons, Phase II, W Loop 1604 N and Culebra Rd, Suite 204, San Antonio, TX 78254 | 2019-12-30 |
| 1295227254 | Wendy Dawn Theriot | Counselor | 9046 Herman Hollow, San Antonio, TX 78254 | 2018-06-05 |
| 1457843666 | Accumed Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6923 W Loop 1604 N, Suite 208, San Antonio, TX 78254 | 2018-06-04 |
| 1730687971 | Shaenfield Dental Pllc | Dentist | 8110 West Loop 1604 North, Suite 101, San Antonio, TX 78254 | 2018-01-23 |
| 1942728712 | Amanda Raen Flores | Specialist/Technologist | 9515 Winding Elm, San Antonio, TX 78254 | 2017-08-31 |
| 1720451925 | Francisca M. Maddefa | Home Health | 9514 Autumn Breeze, San Antonio, TX 78254 | 2015-11-10 |
| 1912376880 | Alamo Springs Dental, Pllc | Dentist | 11590 Galm Rd, Suite 109, San Antonio, TX 78254 | 2015-09-21 |
| 1740656255 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 9050 Fm 1560 N, San Antonio, TX 78254 | 2015-08-19 |
| Find all providers in zip 78254 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1407478027 | Rittiman Pediatric Dentistry, Pllc | Dentist | 5723 N Foster Rd, San Antonio, TX 78244-1204 | 2020-05-18 |
| 1669011235 | Kusom Pediatric Dental South Pllc | Dentist | 1134 Culebra Rd Ste 109, San Antonio, TX 78201-6080 | 2019-12-31 |
| 1114563590 | Zaida Liliana Nieves Lopez | Dentist | 226 Serna Park, San Antonio, TX 78218-2035 | 2019-11-21 |
| 1356997126 | Northeast Children's Dentistry, Inc | Dentist | 315 N San Saba Ste 202, San Antonio, TX 78207-3193 | 2019-08-16 |
| 1033765094 | Northeast Children's Dentistry, Inc | Dentist | 21727 Ih 10 W Ste 203, San Antonio, TX 78257-2107 | 2019-08-15 |
| 1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1972068401 | Aventura Dental | Dentist | 11915 Perrin Beitel Rd, San Antonio, TX 78217-2127 | 2019-02-08 |
| 1427513316 | San Antonio Pediatric Dentistry, Pllc | Dentist | 17026 Bulverde Rd Ste 102, San Antonio, TX 78247-4700 | 2019-02-05 |
| 1104394816 | Cassandra Elkins Dds, Pllc | Dentist | 9543 Huebner Rd, San Antonio, TX 78240-1510 | 2018-11-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78254 |
Please comment or provide details below to improve the information on DR. NELLY GONZALEZ.
| 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.