Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679383384 Individual Practitioner Female Practitioner

Dr. Luisa Fernanda Gongora , DDS

Dentist • Needles, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Luisa Gongora, DDS is a registered healthcare professional specializing in Dentist in Needles, CA. Official NPI practice address is registered at 820 W BROADWAY ST.

Practice Location & Contact Primary Location

Practice Address

820 W Broadway St

Needles, CA 923632729

Telephone 8444441424
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Needles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Needles, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 111127

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 14, 2025

NPI status registered as active in NPPES database

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Updated Practice Location January 14, 2025

Registered at 820 W BROADWAY ST, NEEDLES, CA 923632729 (Tel: 8444441424)

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Updated Business Mailing Address January 14, 2025

Registered at 6517 OLD OXFORD AVE, LAS VEGAS, NV 891080201 (Tel: 6174612485)

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Provider Name / Credentials Updated January 14, 2025

Recorded as LUISA GONGORA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2025

Dentist (License #111127 in CA)

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Initial NPI Registration & Enumeration January 14, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679383384
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2025
Last Update: January 14, 2025
Sole Proprietor: Yes

Mailing Address

6517 Old Oxford Ave

Las Vegas, NV 891080201

Phone: 6174612485

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.