DR. SHAWNEEN M GONZALEZ (NPI# 1942457080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942457080 |
Entity Type | Individual |
Full Name | DR. SHAWNEEN M GONZALEZ |
Credential | DDS, MS |
Practice Address |
40th & Holdrege St Lincoln NE 68583-0740 |
Mailing Address |
7000 N 16th St # A Lincoln NE 68521-9076 |
Practice Telephone | 4024721370 |
Mailing Telephone | 4028054134 |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
08450 | IA | Dental Providers |
Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
6793 | NE | Dental Providers |
Street Address |
40TH & HOLDREGE ST |
City | LINCOLN |
State | NE |
Zip Code | 68583-0740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770876633 | Jeffery Wyatt Keippel | Dentist | 40th & Holdrege St, Lincoln, NE 68503 | 2011-05-25 |
1417267063 | Fahd Alsalleeh | Dentist | 40th & Holdrege St, College of Dentistry, University Dental Associates, Lincoln, NE 68583 | 2010-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427534106 | Landon Peterson | Dentist | 4000 E. Campus Loop, Lincoln, NE 68583 | 2018-07-16 |
1407375843 | Amanda Marie Dolen | Dental Hygienist | 4000 East Campus Loop S Rm. 2115, Lincoln, NE 68583 | 2017-09-18 |
1073984522 | Kelsey White | Dentist | 4000 E Campus Loop S, Lincoln, NE 68583 | 2015-10-09 |
1942619549 | Brandon Mendez | Dentist | 4000 E Campus Loop, University of Nebraska Medical Center, Lincoln, NE 68583 | 2014-08-07 |
1255747523 | Arturo Salinas Jr. | Dentist | 40th St & Holdrege St, Unmc College of Dentistry, Lincoln, NE 68583 | 2014-07-08 |
1528498979 | Paul Springer | Marriage & Family Therapist | East Campus, Family Resource Center, Lincoln, NE 68583 | 2013-11-21 |
1124308101 | Myhanh Thi Phan-rinne | Dentist | 40th & Holdrege #2037, Unmc Cod University Dental Associates, Lincoln, NE 68583 | 2011-08-23 |
1407077654 | Kimberly K Mcfarland | Dentist | 40th Holdrege St., Lincoln, NE 68583 | 2007-05-02 |
1619022183 | David Covey | Dentist | 40th and Holdrege St, Lincoln, NE 68583 | 2007-01-24 |
1295818151 | Amy C Killeen | Dentist | 40 Holdrege, Lincoln, NE 68583 | 2006-10-23 |
Find all providers in zip 68583 |
Taxonomy Code | 1223X0008X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Radiology |
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
1093175507 | Douglas Benn | Dentist | 3610 Leavenworth Ct, Omaha, NE 68105-1200 | 2016-02-25 |
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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.