Tad G Gates, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6756 Issued in MN

Practice address

8878 310TH LN NE
North Branch, MN 55056-6516

Phone

(651) 674-4901

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861511602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8878 310TH LN NE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566516",
            "telephone_number": "651-674-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8878 310TH LN NE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566516",
            "telephone_number": "651-674-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "TAD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D6756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairview Clinics (Fairview Clinics-North Branch)
• Fairview Pharmacy Services LLC (Fairview North Branch Clinic MTM)
• Fairview Pharmacy Services LLC (Fairview Pharmacy North Branch)
• Ashley Faue
• Sheryl Lyn Ford, ND
• Geoffrey D. Archibald, D.D.S. and Adam F. Curtis, D.D.S., P.a. (North Branch Dental)
• Mary Ellen Gramse
• Gina Rae Groshek
• Marcella Gutierrez, MPAS, PA-C
• Walter Andrew Hajost II

• General Practice Dentistry in North Branch, MN
• Providers in North Branch, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.