DR. PAUL ANDRES GONZALES D.D.S.
NPI 1548373897
Dentist - General Practice in Bolivar, MO

Q: What is Paul Gonzales's NPI number?

The NPI number for Paul Gonzales is 1548373897. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Paul Gonzales's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Gonzales was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 17, 2006PECOS Enrolled

2392 S SPRINGFIELD AVE, BOLIVAR, MO 65613(417) 777-8654 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Paul Andres Gonzales D.d.s. NPPES

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

DR. PAUL ANDRES GONZALES D.D.S. (NPI 1548373897) is an individual general practice provider in Bolivar, Missouri, licensed in Missouri (2005019636) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548373897

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PAUL ANDRES GONZALESCredential: D.D.S.

Location Address2392 S SPRINGFIELD AVEBolivar, MO 65613-9124

Mailing Address2392 S Springfield AveBolivar, MO 65613-9124 · (417) 777-8654

Phone(417) 777-8654

Sole ProprietorNo

Enumeration DateAugust 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548373897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2005019636

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.

2392 S SPRINGFIELD AVE, Bolivar, MO 65613

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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)

Dr. Paul Andres Gonzales D.d.s. 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 65613 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

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 Paul Gonzales's NPI number?

The NPI number for Paul Gonzales is 1548373897. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Paul Gonzales located?

Paul Gonzales practices at 2392 S Springfield Ave, Bolivar, MO 65613. The listed phone number is (417) 777-8654.

What is Paul Gonzales's specialty?

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

Is Paul Gonzales enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Paul Gonzales was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.