DR. JOHN PHILLIP GONZALES D.D.S.
NPI 1477679876
Dentist - General Practice in Whiteriver, AZ
About Dr. John Phillip Gonzales D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN PHILLIP GONZALES D.D.S. (NPI 1477679876) is an individual general practice provider in Whiteriver, Arizona, licensed in North Dakota (1859) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John Phillip Gonzales D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Gonzales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Whiteriver, AZ 85941
- Reassigned Medicare billing, Texas enrollment
- 214 clinicians in this Medicare group
Cass Lake, MN 56633
- Reassigned Medicare billing, Texas enrollment
- 98 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Gonzales's NPI number?
The NPI number for John Gonzales is 1477679876. It was assigned to this individual provider in the NPPES registry on March 21, 2007.
Where is John Gonzales located?
John Gonzales practices at 200 W. Hospital Drive, Whiteriver, AZ 85941. The listed phone number is (928) 338-4911.
What is John Gonzales's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is John Gonzales enrolled in Medicare?
Yes. John Gonzales is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Gonzales reassigns Medicare benefits to 2 organizations: Dhhs Ihs Phoenix Area (Whiteriver, AZ) and Department Of Health & Human Services Phs Ihs (Cass Lake, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Gonzales 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, HRI Dental & Vision and Paramount list John Gonzales 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 John Gonzales was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. John Phillip Gonzales, D.D.S. · NPI 1477679876
General Practice provider in Whiteriver, Arizona. Individual provider, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1477679876 (Entity type: Individual)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 1859 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W. HOSPITAL DRIVE, Whiteriver, AZ 85941
- **Phone:** (928) 338-4911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dhhs Ihs Phoenix Area (NPI 1427335140, Whiteriver, AZ); Department Of Health & Human Services Phs Ihs (NPI 1194754382, Cass Lake, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2026
- **Other identifiers:** Medicaid 041327 (ND); Other 949039 (ND); Other 000001859ND (ND); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1477679876) · Data from the CMS NPPES public registry.