DR. RYAN RAQUEL GONZALES (NPI# 1740736453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740736453 |
| Entity Type | Individual |
| Full Name | DR. RYAN RAQUEL GONZALES |
| Credential | D.D.S. |
| Practice Address |
1061 S State Route 260 Cottonwood AZ 86326-4624 |
| Practice Telephone | 9282393254 |
| Mailing Telephone | 9283862085 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D009302 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528601929 | Ryan Gonzales | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2019-10-18 |
| 1437639440 | Ryan Gonzales | Counselor | 2275 Arlington Dr, San Leandro, CA 94578 | 2018-08-19 |
| 1134330061 | Ryan A Gonzales | Internal Medicine | 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | 2007-05-24 |
| Street Address |
1061 S STATE ROUTE 260 |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992098594 | Katherine Lynne Kindt | Dentist | 1061 S State Route 260, Cottonwood, AZ 86326-4624 | 2011-05-16 |
| 1306406566 | Quinn Meehan | Dentist | 1061 S State Route 260, Cottonwood, AZ 86326-4624 | 2019-06-19 |
| 1326440041 | Lane Medina | Dentist | 1061 S State Route 260, Cottonwood, AZ 86326-4624 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154829224 | Cottonwood Dental Care | Dentist | 3251 Chestnut Street, Cottonwood, CA 96022 | 2018-01-24 |
| 1295163558 | Cottonwood Modern Dentistry, LLP | Dentist | 1061 S Highway 260, Cottonwood, AZ 86326-4624 | 2013-10-24 |
| 1750728119 | Seth Arnall | Dentist | 1660 S State Route 260, Cottonwood, AZ 86326-5110 | 2013-05-25 |
| 1992098594 | Katherine Lynne Kindt | Dentist | 1061 S State Route 260, Cottonwood, AZ 86326-4624 | 2011-05-16 |
| 1659524692 | Massoud Eftekhari | Dentist | 830 S Main St Ste 1d, Cottonwood, AZ 86326-4621 | 2008-11-03 |
| 1790953370 | Stanley Edward Ramley | Dentist | 18560 Wildridge Rd, Cottonwood, CA 96022-8629 | 2008-02-15 |
| 1275602732 | Theodore Joseph Jenal | Dentist | 517 S Main St, Cottonwood, AZ 86326-3902 | 2006-11-07 |
| 1730133125 | Jeffrey Colin Blair | Dentist | 1380 Duncan Dr, Cottonwood, AZ 86326-5539 | 2006-05-20 |
| 1144282872 | Michael J Seip | Dentist | 1061 State Route 260, Cottonwood, AZ 86326-4246 | 2006-04-06 |
| 1306406566 | Quinn Meehan | Dentist | 1061 S State Route 260, Cottonwood, AZ 86326-4624 | 2019-06-19 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.