NPIMap

Organization Active NPI

Orthodontic Specialists

Doing business as Jeanne M Gau

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakeville, MN
National Provider Identifier
1538219746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
MN9323 Issued in MN
Legal business name
ORTHODONTIC SPECIALISTS
Doing business as
Jeanne M Gau
Practice address
20174 Heritage Drive
Lakeville
Lakeville, MN 55044
Phone
(952) 469-6760
Fax
(952) 469-3254
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeanne Marcia Gau, DDS MSNPI 1487863205
Title
Orthodontist
Phone
(952) 469-6760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X MN9323 MN Primary

Addresses

Primary practice location

20174 Heritage Drive
Lakeville
Lakeville, MN 55044

Mailing address

20174 Heritage Drive
Lakeville
Lakeville, MN 55044
Phone (952) 469-6760

Other names 1

  • Jeanne M Gau Doing business as

National Provider Directory

National Provider Directory

Locations

20174 Heritage Dr
Lakeville, MN 55044
Phone (952) 469-6760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538219746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20174 HERITAGE DRIVE",
            "address_2": "LAKEVILLE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "55044",
            "telephone_number": "952-469-6760",
            "fax_number": "952-469-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20174 HERITAGE DRIVE",
            "address_2": "LAKEVILLE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "55044",
            "telephone_number": "952-469-6760",
            "fax_number": "952-469-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAU",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "MARCIA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "952-469-6760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "MN9323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeanne M Gau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.