Individual provider Active NPI

Gary R Ries, D.M.D.

  • Endodontics
  • Madison, WI
National Provider Identifier
1962409078
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5001733 Issued in WI
Practice address
406 Science Dr
Ste 410
Madison, WI 53711-1068
Phone
(608) 231-9989
Fax
(608) 231-2814
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5001733 WI Primary

Addresses

Primary practice location

406 Science Dr
Ste 410
Madison, WI 53711-1068

Mailing address

406 Science Dr
Ste 410
Madison, WI 53711-1068
Phone (608) 231-9989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122002274 WI Order and Referring Only - DentistPractitioner - Dentist 9133422215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001733WIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Endodontic Associates S.C Endodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962409078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SCIENCE DR",
            "address_2": "STE 410",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111068",
            "telephone_number": "608-231-9989",
            "fax_number": "608-231-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SCIENCE DR",
            "address_2": "STE 410",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111068",
            "telephone_number": "608-231-9989",
            "fax_number": "608-231-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIES",
        "first_name": "GARY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "5001733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.