Gail Redman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

014140 Issued in MO

Practice address

220 Southland Dr
Sikeston, MO 63801-4403

Phone

(573) 471-4167

Fax

(573) 471-4212

NPI assigned

Aug 11, 2006

Last updated

Dec 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Missouri Health Network

  • Federally Qualified Health Center (FQHC)
  • Sikeston, MO
  • NPI 1104045475
  NPD (past)
• Southeast Missouri Health Network

  dba Southeast Health on Wheels Mobile Van

  • Federally Qualified Health Center (FQHC)
  • Malden, MO
  • NPI 1720209794
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1114938115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638690400",
            "telephone_number": "573-748-2404",
            "fax_number": "573-748-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SOUTHLAND DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014403",
            "telephone_number": "573-471-4167",
            "fax_number": "573-471-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "014140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406087205",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400704003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Pullen, FNP
• Jacob Russell Randich, DPM
• Randy Ackman Inc. (Randy's Rx)
• Kevin P Rankin, MD
• Maria R Reazer, PT
• Miles C Reece III, DO
• Joyce M. Reed, D.O
• Regional Brain & Spine LLC
• Regional Pain and Rehab Center, LLC
• Jordan A Reischman, FNP

• Dentist in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.