Individual provider Active NPI

Gary Lunstad, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Oaks, MN
National Provider Identifier
1881754679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7109 Issued in MN
Practice address
700 Village Center Dr
#140
North Oaks, MN 55127-3019
Phone
(651) 490-3155
Fax
(651) 490-1280
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7109 MN Primary

Addresses

Primary practice location

700 Village Center Dr
#140
North Oaks, MN 55127-3019

Mailing address

700 Village Center Dr
#140
North Oaks, MN 55127-3019
Phone (651) 490-3155

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brian J Devoe DDS PA Orthodontics and Dentofacial Orthopedics Past Accepting new patients

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881754679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VILLAGE CENTER DR",
            "address_2": "#140",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273019",
            "telephone_number": "651-490-3155",
            "fax_number": "651-490-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VILLAGE CENTER DR",
            "address_2": "#140",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273019",
            "telephone_number": "651-490-3155",
            "fax_number": "651-490-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSTAD",
        "first_name": "GARY",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "7109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Oaks, MN

Sources for this page

  • 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.