Gerret W Osendorf, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56052 Issued in CA

Practice address

55 Elaine Dr
Santa Rosa, CA 95409-4248

Phone

(707) 523-7423

NPI assigned

Aug 29, 2007

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

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.

• Rincon Family Dental

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1811335755
  NPD (past) Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1639363971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ELAINE DR STE 601",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094248",
            "telephone_number": "707-477-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ELAINE DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094248",
            "telephone_number": "707-523-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSENDORF",
        "first_name": "GERRET",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jaquelin Oseguera Chavez
• Sandra Oseguera Rimkeit
• Blanca Oseguera
• Cristobal Oseguera, COUNSELOR
• Kathryn Marie Osei-Bonsu
• Christopher Thomas Oshea
• Susan E Ostapak, D.V.M.
• Michael Glenn Ostash, LCSW
• Crystal Dawn Oster, CNM
• Ashley Otoole

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.