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CHRISTIAN NOAH GONZALES DDS
NPI 1417888256
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 28, 2026PECOS Enrolled
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455(800) 756-2363 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Christian Noah Gonzales Dds NPPES

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

CHRISTIAN NOAH GONZALES DDS (NPI 1417888256) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (D15456) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417888256
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTIAN NOAH GONZALESCredential: DDS
Location Address515 DELAWARE ST SEMinneapolis, MN 55455-0357
Mailing Address515 Delaware St SeMinneapolis, MN 55455-0357
Phone(800) 756-2363
Sole ProprietorYes
Enumeration DateMay 28, 2026
Last NPPES UpdateJune 27, 2026
NPPES CertifiedJune 27, 2026
✔ NPI 1417888256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MN · D15456
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
515 DELAWARE ST SE, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Noah Gonzales 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.

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.

DR. JENNIFER LYNN BONAMICI DDS
Dentist
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5000
DR. MICHAEL W. LEHNERT DDS
Dentist (Oral and Maxillofacial Surgery)
515 DELAWARE ST SE, 7TH FLOOR, MMHST
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-7133
DR. BRETT ANDREW VOEGELE D.D.S.
Dentist
515 DELAWARE ST SE, 7TH FLOOR, MOOS TOWER
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-8600
DR. LINDA JIN LIU DDS
Student in an Organized Health Care Education/Training Program
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9900
RAIANA M KLINGELHUTZ
Dentist (General Practice)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2008
MARY ELIZABETH IMDIEKE
Dentist (Prosthodontics)
515 DELAWARE ST SE, CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2495
PAIGE ELIZABETH REINERS DDS
Dentist
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2495
HUI LI
Dentist (Prosthodontics)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (734) 450-6874

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 Christian Gonzales's NPI number?

The NPI number for Christian Gonzales is 1417888256. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Christian Gonzales located?

Christian Gonzales practices at 515 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (800) 756-2363.

What is Christian Gonzales's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christian Gonzales enrolled in Medicare?

Yes. Christian Gonzales is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Gonzales was last updated on June 27, 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.