DAVID GONGORA
NPI 1558862599
Dentist - General Practice in Tijuana, BAJA CALIFORNIA

Q: What is David Gongora's NPI number?

The NPI number for David Gongora is 1558862599. It was assigned to this organization in the NPPES registry on February 26, 2018.

Q: What is David Gongora'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 David Gongora was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 26, 2018

BLVD EL MIRADOR #548 - 1, TIJUANA, BAJA CALIFORNIA 22520(619) 488-3200(866) 272-6924 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About David Gongora NPPES

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

DAVID GONGORA (NPI 1558862599) is a healthcare organization registered as a general practice in Tijuana, BAJA CALIFORNIA and active in the NPI registry since February 2018. The organization lists David Gongora, Dentist, as its authorized official.

NPPES Registry Identity

NPI1558862599

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDAVID GONGORA

Location AddressBLVD EL MIRADOR #548 - 1Tijuana, BAJA CALIFORNIA 22520

Mailing AddressBlvd El Mirador #548 - 1Tijuana, BAJA CALIFORNIA 22520

Phone(619) 488-3200

Fax(866) 272-6924

Organization SubpartNo

Authorized OfficialDavid GongoraDentist · (619) 488-3200

Enumeration DateFebruary 26, 2018

✔ NPI 1558862599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed · 7593837

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.

BLVD EL MIRADOR #548 - 1, Tijuana, BAJA CALIFORNIA 22520

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Other Names 1

Former Legal Business NameDavid Gongora

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 David Gongora's NPI number?

The NPI number for David Gongora is 1558862599. It was assigned to this organization in the NPPES registry on February 26, 2018.

Where is David Gongora located?

David Gongora is located at Blvd El Mirador #548 - 1, Tijuana, BAJA CALIFORNIA 22520. The listed phone number is (619) 488-3200.

What is David Gongora's specialty?

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

When was this NPI record last updated?

The NPPES record for David Gongora was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.