Robert Peter Gardetto, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9996 Issued in MN

Practice address

1521 Northway Dr
Suite 105
St. Cloud, MN 56303-1223

Phone

(320) 252-8363

NPI assigned

Jan 30, 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

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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.

• Westview Dentistry, PLLC

  • General Practice Dentistry
  • St Cloud, MN
  • NPI 1205548385
  NPD (past) Authorized official
• Westview Dentistry

  • General Practice Dentistry
  • Saint Cloud, MN
  • NPI 1841160009
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720124209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21494 COUNTY ROAD 73",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099304",
            "telephone_number": "763-263-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NORTHWAY DR",
            "address_2": "SUITE 105",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "563031223",
            "telephone_number": "320-252-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDETTO",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Gapinski, MSW, LICSW
• Jessica Gapinski
• Taylor Garcia Presas
• Claire Janelle Garcia, MSSW
• Michele Marie Garcia, PA-C
• Timothy James Garding
• Rachel Lee Garness, RN, CNP
• Elizabeth Ann Gary, LICSW
• Bruce Alan Gasser, KINESIOTHERAPIST
• Joan Marie Gasser, R.D.

• General Practice Dentistry in St. Cloud, MN
• Providers in St. Cloud, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.