1. Home
  2. Directory
  3. Florida
  4. Ormond Beach
  5. Dentist
  6. NPI Profile

LISSET GONZALEZ DDS
NPI 1376992230
Dentist - General Practice in Ormond Beach, FL

Active since June 10, 2016PECOS Enrolled
1462 W GRANADA BLVD STE 210, ORMOND BEACH, FL 32174(386) 675-1711 Get Directions Write a Review

NPPES record last updated: June 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisset Gonzalez Dds NPPES

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

LISSET GONZALEZ DDS (NPI 1376992230) is an individual general practice provider in Ormond Beach, Florida, licensed in Florida (DN 21892) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376992230
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLISSET GONZALEZCredential: DDS
Location Address1462 W GRANADA BLVD STE 210Ormond Beach, FL 32174-9167
Mailing Address1462 W Granada Blvd Ste 210Ormond Beach, FL 32174-9167
Phone(386) 675-1711
Sole ProprietorNo
Enumeration DateJune 10, 2016
✔ NPI 1376992230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN 21892
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.
1462 W GRANADA BLVD STE 210, Ormond Beach, FL 32174
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisset Perez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life 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)

Lisset 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 32174 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

MARINA AWAD
Dentist (General Practice)
1462 W GRANADA BLVD STE 210
ORMOND BEACH, FL 32174
Flagler County (386) 675-1711
KATHLYN N TRAN DMD
Dentist (General Practice)
1462 W GRANADA BLVD STE 210
ORMOND BEACH, FL 32174
Flagler County (386) 675-1711
SAVANNA M. PETERSON DMD
Dentist (General Practice)
1462 W GRANADA BLVD STE 210
ORMOND BEACH, FL 32174
Flagler County (386) 675-1711
KINJALBEN N. PATEL DMD
Dentist (General Practice)
1462 W GRANADA BLVD STE 210
ORMOND BEACH, FL 32174
Flagler County (386) 675-1711

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 Lisset Gonzalez's NPI number?

The NPI number for Lisset Gonzalez is 1376992230. It was assigned to this individual provider in the NPPES registry on June 10, 2016. The provider is also known as Lisset Perez.

Where is Lisset Gonzalez located?

Lisset Gonzalez practices at 1462 W Granada Blvd Ste 210, Ormond Beach, FL 32174. The listed phone number is (386) 675-1711.

What is Lisset Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lisset Gonzalez enrolled in Medicare?

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

What insurance does Lisset Gonzalez accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 11 other insurers list Lisset 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 Lisset Gonzalez was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.