Gregory Alan Gertsen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

M546 Issued in SD

Practice address

1155 4TH St NE
Watertown, SD 57201-1202

Phone

(605) 882-3060

Fax

(605) 882-0681

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Preventative Dental LLC

  • Dentist
  • Watertown, SD
  • NPI 1225417355
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427078351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 4TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011202",
            "telephone_number": "605-882-3060",
            "fax_number": "605-882-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 4TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011202",
            "telephone_number": "605-882-3060",
            "fax_number": "605-882-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTSEN",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804320",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald M. Rieber MD PC
• Catherine C Gerrish, MD
• Edwin S. Gerrish, MD
• Gregory Mark Gerrish, M.D.
• Connie Gertsen
• Robert W Giebink, MD
• Emily Givens
• Lindsey Givens, RN
• Glacial Lakes Anesthesia, PLLC
• Kristie L Goens, CNP

• Dentist in Watertown, SD
• Providers in Watertown, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.