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JORGE EMILIO PERALTA GONZALEZ DMD
NPI 1649021296
Dentist in Roxbury, MA

Active since April 01, 2024
16 TABER ST UNIT 304, ROXBURY, MA 02119(914) 572-1195 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 25, 2025, Apr 1, 2024 (2 updates tracked since 2024).

About Jorge Emilio Peralta Gonzalez Dmd NPPES

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

JORGE EMILIO PERALTA GONZALEZ DMD (NPI 1649021296) is an individual dentist in Roxbury, Massachusetts, licensed in Massachusetts (DN10000576) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1649021296
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJORGE EMILIO PERALTA GONZALEZCredential: DMD
Location Address16 TABER ST UNIT 304Roxbury, MA 02119-4231
Mailing Address19 Kenilworth St Apt 3Roxbury, MA 02119-1877 · (914) 572-1195
Phone(914) 572-1195
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1649021296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN10000576
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16 TABER ST UNIT 304, Roxbury, MA 02119
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

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 Jorge Peralta Gonzalez's NPI number?

The NPI number for Jorge Peralta Gonzalez is 1649021296. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Jorge Peralta Gonzalez located?

Jorge Peralta Gonzalez practices at 16 Taber St Unit 304, Roxbury, MA 02119. The listed phone number is (914) 572-1195.

What is Jorge Peralta Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jorge Peralta Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jorge Peralta 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 Jorge Peralta Gonzalez was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.