Gaalaas Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9583 Issued in MN

Legal business name

GAALAAS ORTHODONTICS

Practice address

280 NW 6TH St
Grand Rapids, MN 55744-2663

Phone

(218) 326-0377

NPI assigned

Mar 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peder A. Gaalaas, DDS

Title

Orthodontist

Phone

(218) 326-0377

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1043712367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 NW 6TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442663",
            "telephone_number": "218-326-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NW 6TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442663",
            "telephone_number": "218-326-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAALAAS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "GAALAAS",
        "authorized_official_first_name": "PEDER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "218-326-0377",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "9583",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "13554",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841673399",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255414025",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela M. Friesen, NP
• Mark Jacob Frost, PHARMD
• Katherine Amber Fuglie, B.S.
• Michael Dean Funk, BS
• G & H Inc of Greater MN
• Peder Aiton Gaalaas, DDS
• Sara A. Gaalaas, DDS, ORTHODONTIST
• Thomas Gaffney, RN, C. LPC
• Thomas A Gagnon, LADC
• Justin Gambill, PSYD, LP

• Orthodontics and Dentofacial Orthopedics Dentistry in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.