Gerald P. Runde, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

206 N. Pearl St.
Teutopolis, IL 62467-0215

Phone

(217) 857-3201

Fax

(217) 857-6007

NPI assigned

Sep 26, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790771673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N GARRETT ST",
            "address_2": "P.O. BOX 215",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671132",
            "telephone_number": "217-857-3201",
            "fax_number": "217-857-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N. PEARL ST.",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624670215",
            "telephone_number": "217-857-3201",
            "fax_number": "217-857-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDE",
        "first_name": "GERALD",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Repking, O.D.
• Jessica Kristin Rhodes, DT
• Rebecca Fay Rhodes, DEVELOPMENTAL THERAP
• Natasha Renee Ruholl, M.S., CCC-SLP
• Charles W. Runde, M.D.
• Sigma Innovation Group PLLC
• Vicky Simmons
• Springfield Clinic LLP
• Kasey Lynn Sudkamp, DPT
• Teutopolis Comm Unit School District 50

• Dentist in Teutopolis, IL
• Providers in Teutopolis, IL by specialty
• Dentist in Illinois

• 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.