Sara A. Gaalaas, DDS, ORTHODONTIST

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D13554 Issued in MN

Practice address

504 NW 1St Ave Ste 200
Grand Rapids, MN 55744-2663

Phone

(218) 326-0377

Fax

(218) 326-0378

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1841673399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 NW 1ST AVE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442663",
            "telephone_number": "218-326-0377",
            "fax_number": "218-326-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NW 1ST AVE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442663",
            "telephone_number": "218-326-0377",
            "fax_number": "218-326-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAALAAS",
        "first_name": "SARA",
        "middle_name": "A.",
        "credential": "DDS, ORTHODONTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D13554",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Amber Fuglie, B.S.
• Michael Dean Funk, BS
• G & H Inc of Greater MN
• Gaalaas Orthodontics
• Peder Aiton Gaalaas, DDS
• Thomas Gaffney, RN, C. LPC
• Thomas A Gagnon, LADC
• Justin Gambill, PSYD, LP
• Garden Court Chateau LLC
• Haylee Garsow, LADC, LSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.