MARIANELA GONZALEZ (DDS, MS) – Oral and Maxillofacial Surgery (Dentist), NPI 1316138803

MARIANELA GONZALEZ (DDS, MS) is a healthcare provider. based in Dallas, Texas. specializing in ORAL SURGERY. They hold the professional credentials DDS, MS. They hold a License No. F23292 (TX). The NPI Number for MARIANELA GONZALEZ (DDS, MS) is 1316138803

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MARIANELA GONZALEZ (DDS, MS)
NPI
1316138803
Phone
(214) 828-8103
Address
3302 GASTON AVE
Enumeration Date
8 August 2007
Last Update Date
8 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2148288100
Graduation Year
1991 (35 years ago)
PAC ID
9436439270
Group Practice PAC ID
3173931292
Professional Enrollment ID
I20161213001076
Address ID
TX752261309DA3000XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

145 ORAL SURGERY in TX

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Provider Addresses for MARIANELA GONZALEZ (DDS, MS)

  • 3302, Gaston Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States

    DALLAS, TX 752462013

    Phone: (214) 828-8103

    Fax: (214) 828-8382

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AXOGEN ($46).

Total Amount

$114

General + Research + Ownership

Payments

5

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161213001076IOral SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75246)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173931292View full group profile
NameSpecialtyState
Oral Surgery, Maxillofacial SurgeryTX
Oral And Maxillofacial PathologyTX
Maxillofacial Surgery, Oral SurgeryTX
Dentist, Oral SurgeryTX
Oral SurgeryMD
Oral And Maxillofacial PathologyTX
Oral And Maxillofacial PathologyTX
Oral And Maxillofacial PathologyTX

Reviews

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Frequently asked questions

How do I look up MARIANELA GONZALEZ (DDS, MS) by NPI?
Use NPI 1316138803 when you need to reference MARIANELA GONZALEZ (DDS, MS) in forms, claims, or directories.
Is MARIANELA GONZALEZ (DDS, MS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MARIANELA GONZALEZ (DDS, MS) treat or focus on?
Patients typically see MARIANELA GONZALEZ (DDS, MS) under the specialty Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Where is MARIANELA GONZALEZ (DDS, MS)'s primary listing?
We display Dallas, Texas because that is what the record indicates for MARIANELA GONZALEZ (DDS, MS).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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