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DYLAN RICHARD GONZALES
NPI 1760060313
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 01, 2021PECOS Enrolled
1215 LEE STREET, MAILBOX 800394, CHARLOTTESVILLE, VA 22908(434) 924-5306(434) 982-4467 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Jul 28, 2022, Apr 1, 2021 (3 updates tracked since 2021).

About Dylan Richard Gonzales NPPES

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

DYLAN RICHARD GONZALES (NPI 1760060313) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116040208) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760060313
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN RICHARD GONZALES
Location Address1215 LEE STREET, MAILBOX 800394Charlottesville, VA 22908-0816
Mailing Address1215 Lee Street, Mailbox 800394Charlottesville, VA 22908-0816 · (434) 924-5306 · Fax (434) 982-4467
Phone(434) 924-5306
Fax(434) 982-4467
Sole ProprietorNo
Enumeration DateApril 1, 2021
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1760060313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0116040208
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE STREET, Charlottesville, VA 22908
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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)

Dylan Richard Gonzales 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.

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.

MRS. ANNA VI JONES MD
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, MAIL SLOT 800904
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1946
MICHAEL HOWARD MD
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, BOX 800713
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5700
BRETT KURPIEL MD
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, 800904
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-1018
STYLIANOS PIKIS
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, MAIL STOP 800212
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2203
MISS LINDSAY NICOLE BARKER NP
Nurse Practitioner (Acute Care)
1215 LEE STREET
CHARLOTTESVILLE, VA 22908
Charlottesville City (800) 257-0757
OLIVIA GRACE COHEN MSPH, MD
Student in an Organized Health Care Education/Training Program
1215 LEE STREET
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
JUSTIN PERDUE
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, BOX 800394
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5306
AUSTIN THOMAS DO
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, BOX 800501
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5321

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 Dylan Gonzales's NPI number?

The NPI number for Dylan Gonzales is 1760060313. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Dylan Gonzales located?

Dylan Gonzales practices at 1215 Lee Street Mailbox 800394, Charlottesville, VA 22908. The listed phone number is (434) 924-5306.

What is Dylan Gonzales's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dylan Gonzales enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dylan Gonzales was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.