Active NPI
Gus Charles Petras DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Redding, CA
National Provider Identifier
1790853653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22171
- Legal business name
- GUS CHARLES PETRAS DDS
- Practice address
- 400 Hartnell Avenue
Redding, CA 96002-1848 - Phone
- (530) 222-2473
- Fax
- (530) 222-3718
- NPI assigned
- Nov 30, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gus Charles Petras, DDS
- Title
- Dentist
- Phone
- (530) 222-2473
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22171 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22171 | CA | Primary |
Addresses
Primary practice location
400 Hartnell Avenue
Redding, CA 96002-1848
Mailing address
400 Hartnell Avenue
Redding, CA 96002-1848
Phone (530) 222-2473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B2217101 | Other | CA | MEDICAL DENTICAL |
National Provider Directory
National Provider DirectoryLocations
400 Hartnell Ave
Redding, CA 96002
Phone (530) 222-2473
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pediatric Dentistry
- Redding, CA
- NPI 1639217284
-
- Pediatric Dentistry
- Redding, CA
- NPI 1245530062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1790853653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HARTNELL AVENUE",
"city": "REDDING",
"state": "CA",
"postal_code": "960021848",
"telephone_number": "530-222-2473",
"fax_number": "530-222-3718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HARTNELL AVENUE",
"city": "REDDING",
"state": "CA",
"postal_code": "960021848",
"telephone_number": "530-222-2473",
"fax_number": "530-222-3718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUS CHARLES PETRAS DDS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PETRAS",
"authorized_official_first_name": "GUS",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "530-222-2473",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "22171",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "22171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL DENTICAL",
"identifier": "B2217101",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.