Gunnar Vraa

Primary specialty

DentistTaxonomy code 122300000X

License

D14370 Issued in MN

Practice address

15015 Cimarron Ave
Rosemount, MN 55068-2771

Phone

(952) 423-2288

NPI assigned

Jun 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Dental Specialists of Minnesota, PLLC

  • Dental Clinic/Center
  • Rosemount, MN
  • NPI 1760013015
  NPD
• PDG, P.a.

  • Dental Clinic/Center
  • Rosemount, MN
  • NPI 1538598057
  NPD

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1164048971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COUNTY ROAD C W STE 2210",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132551",
            "telephone_number": "651-746-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 CIMARRON AVE",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550682771",
            "telephone_number": "952-423-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRAA",
        "first_name": "GUNNAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14370",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Van Siclen, MA, BCBA
• Trent Van Tress, PHARMD
• Ronald L Villella, M.D.
• Jody Voges
• Amelia Jin Yuan Volkert, DDS, MS
• Serena Ann Vruno, LICSW
• Walgreen Co
• Kelsey Nicole Wall
• Michelle M Wall, PT/DPT, ATC
• Richard Warmke

• Dentist in Rosemount, MN
• Providers in Rosemount, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.