Gabriel Alberto De Los Rios, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14297 Issued in MN

Practice address

3340 Republic Ave Ste 130
St Louis Park, MN 55426-4189

Phone

(952) 938-2740

Fax

(952) 938-2740

NPI assigned

Jul 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Creekside Dental PLLC

  • Dentist
  • St Louis Park, MN
  • NPI 1043955412
  NPD Authorized official
• Patrick J. Foy DDS,PA

  • Dentist
  • St Louis Park, MN
  • NPI 1831528447
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1265086011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE STE 130",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264189",
            "telephone_number": "952-938-2740",
            "fax_number": "507-364-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE STE 130",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264189",
            "telephone_number": "952-938-2740",
            "fax_number": "952-938-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS RIOS",
        "first_name": "GABRIEL",
        "middle_name": "ALBERTO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Day, DO
• Jennifer Day, M.D.
• Burhan Adam Daynab, ASSISTED LIVING
• DCB Therapies LLC
• Anthony De Angelis
• Paula Deakins
• Randi B Deal, LMFT
• Kent Robert Deardorff, PT, DPT
• Jennifer Dease, MA, LMFT
• Madeline Nicole Debol, PA

• Dentist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.