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DR. EDWARD D GONZALES DDS
NPI 1841372471
Dentist - Dental Public Health in Sisseton, SD

Active since October 20, 2006PECOS Enrolled
100 LAKE TRAVERSE DR, SISSETON, SD 57262(605) 742-3678(605) 742-3887 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edward D Gonzales Dds NPPES

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

DR. EDWARD D GONZALES DDS (NPI 1841372471) is an individual dental public health provider in Sisseton, South Dakota, licensed in California (033770) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841372471
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameDR. EDWARD D GONZALESCredential: DDS
Location Address100 LAKE TRAVERSE DRSisseton, SD 57262-0189
Mailing Address1406 15th St NWahpeton, ND 58075-3519 · (701) 642-8121
Phone(605) 742-3678
Fax(605) 742-3887
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateDecember 23, 2011
✔ NPI 1841372471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in CA · 033770
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
100 LAKE TRAVERSE DR, Sisseton, SD 57262
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward D Gonzales Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Woodrow Wilson Keeble Memorial Health Care Center
Same address
Clinic/Center
100 LAKE TRAVERSE DRIVE
Sisseton, SD 57262
  • Reassigned Medicare billing, Texas enrollment
  • 50 clinicians in this Medicare group
NPI 1366471666 (605) 698-7606

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57262 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

FAITH ANN PHILLIPS DNP, RNP, FNP-BC
Nurse Practitioner (Family)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
LIBERTY ANN DERBY GOODSELL LPN
Licensed Practical Nurse
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
MRS. DOROTHY JEANNE NELSON R.N.
Registered Nurse (Ambulatory Care)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
DON KEVIN FISCHER LPN
Licensed Practical Nurse
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
MISS KELLI KAY HORTON ANDERSON PT, ATC
Physical Therapist
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606
MR. BRIAN E LABELLE MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 742-3710
DR. PETER THOMAS STEINKEN PHARM D.
Pharmacist
100 LAKE TRAVERSE DR, WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER
SISSETON, SD 57262
Roberts County (605) 698-7606
MS. CARMEN MARIA REDLIN CNP
Nurse Practitioner
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Roberts County (605) 698-7606

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 Edward Gonzales's NPI number?

The NPI number for Edward Gonzales is 1841372471. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Edward Gonzales located?

Edward Gonzales practices at 100 Lake Traverse Dr, Sisseton, SD 57262. The listed phone number is (605) 742-3678.

What is Edward Gonzales's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Edward Gonzales enrolled in Medicare?

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

Which organization bills Medicare for Edward Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Gonzales reassigns Medicare benefits to Woodrow Wilson Keeble Memorial Health Care Center (Sisseton, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Gonzales was last updated on December 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.