Individual provider Active NPI

Rakesh Gadde, DMD

  • General Practice Dentistry
  • Palisade, CO
National Provider Identifier
1407323165
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00205750 Issued in CO
Practice address
125 W 3Rd St
Palisade, CO 81526-5003
Phone
(970) 464-5123
NPI assigned
Oct 30, 2018
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D10946 OR
General Practice Dentistry 1223G0001X 00205750 CO Primary
General Practice Dentistry 1223G0001X D10946 OR

Addresses

Primary practice location

125 W 3Rd St
Palisade, CO 81526-5003

Mailing address

125 W 3Rd
Palisade, CO 81526
Phone (970) 464-5123

Other identifiers 1

IdentifierTypeStateIssuer
170061MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20191111000521 OR Order and Referring Only - DentistPractitioner - Dentist 6800228065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D10946ORMDDentist
00205750COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Gadde DMD PLLC Dentist Current 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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1407323165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 3RD",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "81526",
            "telephone_number": "970-464-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 3RD ST",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "815265003",
            "telephone_number": "970-464-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDE",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10946",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00205750",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170061",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisade, CO

Sources for this page

Verify at the official NPI Registry.