Individual provider Active NPI

Stephen Edward Gadient, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • North Oaks, MN
National Provider Identifier
1225001381
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
D8284 Issued in MN
Practice address
700 Village Center Dr
Suite 170
North Oaks, MN 55127-3019
Phone
(651) 482-0065
Fax
(651) 482-6144
NPI assigned
Feb 9, 2006
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X D8284 MN Primary

Addresses

Primary practice location

700 Village Center Dr
Suite 170
North Oaks, MN 55127-3019

Mailing address

700 Village Center Dr
Suite 170
North Oaks, MN 55127-3019
Phone (651) 482-0065

Other identifiers 2

IdentifierTypeStateIssuer
C01337OtherMNMEDICARE GROUP NUMBER
C01683OtherMNMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8284MNMDOral and Maxillofacial Pathology Dentist
8284MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momenta, PC PastSince Jul 1, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1225001381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VILLAGE CENTER DR",
            "address_2": "SUITE 170",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273019",
            "telephone_number": "651-482-0065",
            "fax_number": "651-482-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VILLAGE CENTER DR",
            "address_2": "SUITE 170",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273019",
            "telephone_number": "651-482-0065",
            "fax_number": "651-482-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADIENT",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MN",
            "license": "D8284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C01337",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C01683",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Oaks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.