Active NPI
Rebecca Janelle Gander, DMD
- Dentist
- Madison, WI
National Provider Identifier
1821833666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 600159815
- Practice address
- 344 S Yellowstone Dr
Madison, WI 53705-4321 - Phone
- (608) 836-5700
- NPI assigned
- Jun 25, 2024
- Last updated
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 600159815 | WI | Primary |
Addresses
Primary practice location
344 S Yellowstone Dr
Madison, WI 53705-4321
Mailing address
344 S Yellowstone Dr
Madison, WI 53705-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600159815 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Fear Dentistry Madison West LLC | Dentist | Current | Accepting new patients |
Locations
344 S Yellowstone Dr
Madison, WI 53705
Phone (608) 338-0629
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1821833666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 S YELLOWSTONE DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537054321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 S YELLOWSTONE DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537054321",
"telephone_number": "608-836-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDER",
"first_name": "REBECCA",
"middle_name": "JANELLE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "600159815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.