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CUAUHTEMOC GONZALEZ DDS
NPI 1366839193
Dentist - Pediatric Dentistry in Rocklin, CA

Active since April 20, 2015PECOS Enrolled
5420 PARK DR, ROCKLIN, CA 95765(916) 435-5230 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2022, Jun 25, 2020 (2 updates tracked since 2020).

About Cuauhtemoc Gonzalez Dds NPPES

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

CUAUHTEMOC GONZALEZ DDS (NPI 1366839193) is an individual pediatric dentistry provider in Rocklin, California, licensed in California (101166) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Roseville.

NPPES Registry Identity

NPI1366839193
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameCUAUHTEMOC GONZALEZCredential: DDS
Location Address5420 PARK DRRocklin, CA 95765-5562
Mailing Address5420 Park DrRocklin, CA 95765-5562 · (916) 435-5230
Phone(916) 435-5230
Sole ProprietorNo
Enumeration DateApril 20, 2015
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1366839193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 101166
Definition
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.
5420 PARK DR, Rocklin, CA 95765
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Secondary Practice Location 1

Location 11253 Pleasant Grove Blvd Ste 190Roseville, CA 95678-6983 · Phone (916) 773-5230

Accepted Insurance

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

Cuauhtemoc 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 95765 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 3

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

MR. DENNIS ROY PETERSON DDS
Dentist (Pediatric Dentistry)
5420 PARK DR
ROCKLIN, CA 95765
Placer County (916) 435-5230
DR. JUDE CRUTCHFIELD D.M.D
Dentist (Pediatric Dentistry)
5420 PARK DR
ROCKLIN, CA 95765
Placer County (916) 660-2904
ROCKLIN KIDS DENTIST
Dentist (Pediatric Dentistry)
5420 PARK DR
ROCKLIN, CA 95765
Placer County (916) 435-5230

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 Cuauhtemoc Gonzalez's NPI number?

The NPI number for Cuauhtemoc Gonzalez is 1366839193. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Cuauhtemoc Gonzalez located?

Cuauhtemoc Gonzalez practices at 5420 Park Dr, Rocklin, CA 95765. The listed phone number is (916) 435-5230.

What is Cuauhtemoc Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Cuauhtemoc Gonzalez enrolled in Medicare?

Yes. Cuauhtemoc Gonzalez is registered in the Medicare PECOS enrollment system.

What insurance does Cuauhtemoc Gonzalez accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Cuauhtemoc 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 Cuauhtemoc Gonzalez was last updated on July 15, 2022. 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.