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DR. JUSTIN D GONZALES DMD
NPI 1649436999
Dentist - General Practice in Clackamas, OR

Active since August 05, 2008PECOS Enrolled
9775 SE SUNNYSIDE RD, SUITE 200, CLACKAMAS, OR 97015(503) 655-8471(503) 794-3850 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin D Gonzales Dmd NPPES

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

DR. JUSTIN D GONZALES DMD (NPI 1649436999) is an individual general practice provider in Clackamas, Oregon, licensed in Oregon (D9089) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649436999
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUSTIN D GONZALESCredential: DMD
Location Address9775 SE SUNNYSIDE RD, SUITE 200Clackamas, OR 97015-5739
Mailing Address2051 Kaen Rd, Suite 367Oregon City, OR 97045-4035 · (503) 742-5300 · Fax (503) 742-5979
Phone(503) 655-8471
Fax(503) 794-3850
Sole ProprietorNo
Enumeration DateAugust 5, 2008
Last NPPES UpdateJanuary 25, 2016
✔ NPI 1649436999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D9089
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.
9775 SE SUNNYSIDE RD, Clackamas, OR 97015
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Accepted Insurance

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

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. Justin D Gonzales Dmd 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 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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.

TRANG TRAN RN
Registered Nurse
9775 SE SUNNYSIDE RD, STE 200
CLACKAMAS, OR 97015
Clackamas County (503) 794-3830
AUBREY M MILLER MD
Family Medicine
9775 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 655-8471
SYLVIA SANAIA SPARROW
Social Worker (Clinical)
9775 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 655-8471
JANETT K PHELPS DO
Family Medicine
9775 SE SUNNYSIDE RD, SUITE 200
CLACKAMAS, OR 97015
Clackamas County (503) 794-3830
JAMES WESLEY HART RN
Registered Nurse
9775 SE SUNNYSIDE RD, SUITE 200
CLACKAMAS, OR 97015
Clackamas County (503) 794-3838
SUSAN LYNN BANE RN
Registered Nurse
9775 SE SUNNYSIDE RD, SUITE 200
CLACKAMAS, OR 97015
Clackamas County (503) 794-3838
MS. OLIVIA ML MCCLELLAND LCSW
Social Worker (Clinical)
9775 SE SUNNYSIDE RD, SUITE 200
CLACKAMAS, OR 97015
Clackamas County (503) 794-3830
ANGELA AMUNDSON FNP
Nurse Practitioner (Family)
9775 SE SUNNYSIDE RD, SUITE 200
CLACKAMAS, OR 97015
Clackamas County (503) 655-8471

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 Justin Gonzales's NPI number?

The NPI number for Justin Gonzales is 1649436999. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Justin Gonzales located?

Justin Gonzales practices at 9775 SE Sunnyside Rd Suite 200, Clackamas, OR 97015. The listed phone number is (503) 655-8471.

What is Justin Gonzales's specialty?

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

Is Justin Gonzales enrolled in Medicare?

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

What insurance does Justin Gonzales accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 5 other insurers list Justin 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 Justin Gonzales was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.