DR. THERESA ANN GONZALEZ DDS
NPI 1235262478
Dentist - General Practice in Indianapolis, IN

Active since March 14, 2007PECOS Enrolled
1121 W MICHIGAN ST, ROOM 317, INDIANAPOLIS, IN 46202(317) 274-0387(317) 274-9544 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Theresa Ann Gonzalez Dds NPPES

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

DR. THERESA ANN GONZALEZ DDS (NPI 1235262478) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12009666) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235262478
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THERESA ANN GONZALEZCredential: DDS
Location Address1121 W MICHIGAN ST, ROOM 317Indianapolis, IN 46202-5211
Mailing Address1121 W Michigan St, Room 317Indianapolis, IN 46202-5211 · (317) 274-0387 · Fax (317) 274-9544
Fax(317) 274-9544
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1235262478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12009666
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1121 W MICHIGAN ST, Indianapolis, IN 46202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Theresa Ann Gonzalez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist (Oral and Maxillofacial Pathology)
1121 W MICHIGAN ST, ROOM 285
INDIANAPOLIS, IN 46202
Dentist (Periodontics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST, INDIANA UNIVERSITY SSCHOOL OF DENTISTRY RM 235
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST, ROOM S 110
INDIANAPOLIS, IN 46202
Dentist (Prosthodontics)
1121 W MICHIGAN ST, IU SCHOOL OF DENTISTRY, ROOM 286B
INDIANAPOLIS, IN 46202
Dentist (General Practice)
1121 W MICHIGAN ST, ROOM 285B
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235262478, enumerated as an "individual" on March 14, 2007.

The provider is located at 1121 W MICHIGAN ST ROOM 317 INDIANAPOLIS, IN 46202 and the phone number is (317) 274-0387.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.