DR. ROEL GONZALEZ (NPI# 1912002056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912002056 |
| Entity Type | Individual |
| Full Name | DR. ROEL GONZALEZ |
| Credential | D.M.D. |
| Practice Address |
1320 Wonder World Dr Ste 103 San Marcos TX 78666-7558 |
| Practice Telephone | 5123535500 |
| Practice Fax Number | 5123531619 |
| Mailing Telephone | 5123535500 |
| Mailing Fax Number | 5123531619 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
25258 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17026 Bulverde Rd Ste 102, San Antonio, TX 782474700 | 2109448111 | 2109448113 |
| Street Address |
1320 WONDER WORLD DR STE 103 |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| 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 |
|---|---|---|---|---|
| 1093054553 | Alligator Dental | Dentist | 1309 Medical Parkway, San Marcos, TX 78666-9997 | 2013-02-04 |
| 1770858565 | Nikki Shafiei | Dentist | 555 S Rancho Santa Fe Rd Ste 101, San Marcos, CA 92078-3698 | 2012-03-13 |
| 1659578953 | Marjan Rashedi | Dentist | 838 Nordahl Rd Ste 125, San Marcos, CA 92069-3513 | 2007-06-29 |
| 1053449439 | Ali Asgari | Dentist | 327 S Rancho Santa Fe Rd, Suite G, San Marcos, CA 92078-2347 | 2007-02-28 |
| 1992807853 | Josefina Villanueva Martinez | Dentist | 310 Stagecoach Trl Ste 1000, San Marcos, TX 78666-5157 | 2006-09-02 |
| 1467840892 | G. Allen D.d.s., and N. Balachandran D.d.s., Inc | Dentist | 955 Boardwalk, Suite 301, San Marcos, CA 92078-2659 | 2015-01-08 |
| 1962826487 | Jaclyn Barrera | Dentist | 838 Nordahl Rd Ste 145, San Marcos, CA 92069-3513 | 2014-02-05 |
| 1932547049 | Asgari Dental P.C. | Dentist | 327 S Rancho Santa Fe Rd, Suite G, San Marcos, CA 92078-2347 | 2013-06-11 |
| 1538408760 | Alligator Dental | Dentist | 1309 Medical Parkway, San Marcos, TX 78666-9998 | 2013-02-07 |
| 1740526771 | Marjan Rashedi Dmd Inc | Dentist | 838 Nordahl Rd, Suite 145, San Marcos, CA 92069-3595 | 2012-12-19 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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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.