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GUSTAVO HERNAN LOPEZ GOMEZ
NPI 1184224230
Dentist - Dental Public Health in New York, NY

Active since October 28, 2020
111 BROADWAY RM 1304, NEW YORK, NY 10006(212) 600-1996 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 21, 2023, Oct 28, 2020 (2 updates tracked since 2020).

About Gustavo Hernan Lopez Gomez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTAVO HERNAN LOPEZ GOMEZ (NPI 1184224230) is an individual dental public health provider in New York, New York, licensed in New York (062406-01) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1184224230
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameGUSTAVO HERNAN LOPEZ GOMEZ
Location Address111 BROADWAY RM 1304New York, NY 10006-1999
Mailing Address39 High St Apt 309Jersey City, NJ 07306-2360 · (813) 447-0053
Phone(212) 600-1996
Sole ProprietorNo
Enumeration DateOctober 28, 2020
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1184224230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in NY · 062406-01
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
111 BROADWAY RM 1304, New York, NY 10006
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Other Identifiers 1

Other062406-01NY · State Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VERONICA HELENA PUZIO DMD
Dentist
111 BROADWAY RM 1304
NEW YORK, NY 10006
New York County (212) 600-1996
DR. BEHAZIN TORKIAN DMD
Dentist (General Practice)
111 BROADWAY RM 1304
NEW YORK, NY 10006
New York County (212) 600-1996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Lopez Gomez's NPI number?

The NPI number for Gustavo Lopez Gomez is 1184224230. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Gustavo Lopez Gomez located?

Gustavo Lopez Gomez practices at 111 Broadway Rm 1304, New York, NY 10006. The listed phone number is (212) 600-1996.

What is Gustavo Lopez Gomez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

What insurance does Gustavo Lopez Gomez accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gustavo Lopez Gomez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gustavo Lopez Gomez was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.