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RICARDO L VIDAL GONZALEZ
NPI 1295873479
Dentist - Periodontics in Louisville, KY

Active since February 01, 2007
118 SEARS AVE, LOUISVILLE, KY 40207(502) 296-7536 Get Directions Write a Review

NPPES record last updated: December 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2021, Aug 29, 2021, May 9, 2021 and 4 more (7 updates tracked since 2015).

About Ricardo L Vidal Gonzalez NPPES

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

RICARDO L VIDAL GONZALEZ (NPI 1295873479) is an individual periodontics provider in Louisville, Kentucky, licensed in Kentucky (8281) and active in the NPI registry since February 2007. He maintains a secondary practice location in New Albany.

NPPES Registry Identity

NPI1295873479
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameRICARDO L VIDAL GONZALEZ
Location Address118 SEARS AVELouisville, KY 40207-5014
Mailing Address3416 Hanover CtLouisville, KY 40207-4326 · (502) 296-7536
Phone(502) 296-7536
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateDecember 12, 20217 updates tracked since enumeration
NPPES CertifiedDecember 12, 2021
✔ NPI 1295873479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in KY · 8281✔ Licensed in OH · 30.024338✔ Licensed in IN · 12013412A
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
118 SEARS AVE, Louisville, KY 40207
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Secondary Practice Location 1

Location 14000 Charlestown Crossing WayNew Albany, IN 47150-8300 · Phone (502) 296-7536

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 ›

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 Ricardo Vidal Gonzalez's NPI number?

The NPI number for Ricardo Vidal Gonzalez is 1295873479. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Ricardo Vidal Gonzalez located?

Ricardo Vidal Gonzalez practices at 118 Sears Ave, Louisville, KY 40207. The listed phone number is (502) 296-7536.

What is Ricardo Vidal Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Ricardo Vidal Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Ricardo Vidal Gonzalez 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 Ricardo Vidal Gonzalez was last updated on December 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.