Gail N Raether, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-9704 Issued in CO

Practice address

7806 Market Blvd
Chanhassen, MN 55317-9440

Phone

(952) 949-1083

Fax

(952) 949-1084

NPI assigned

Jun 17, 2008

Reactivated

Aug 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Northland Dental Partners, PLLC

  dba Metro Dentalcare Chanhassen

  • General Practice Dentistry
  • Chanhassen, MN
  • NPI 1740923309
  NPD

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1598926115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26420 OAK RIDGE CIR",
            "city": "SHOREWOOD",
            "state": "MN",
            "postal_code": "553317973",
            "telephone_number": "720-308-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 MARKET BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179440",
            "telephone_number": "952-949-1083",
            "fax_number": "952-949-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAETHER",
        "first_name": "GAIL",
        "middle_name": "N",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "deactivation_date": "2021-07-15",
        "reactivation_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9704",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-9704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenelle Peterson
• PHS/Chanhassen,Inc.
• Katherine Stratton Posch, PSYD, LP
• Provax LLC
• Kathryn Puklich, DPT, PT
• Carmen Real, DDS
• Patrice Reed-Zweber, MA, LPCC, LADC
• Natasha-Kristin Reilly
• Allyson L Reinsch, PHARM.D.
• Miles Renswick, PHARMD

• General Practice Dentistry in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.