Gus Charles Petras DDS
Gus Charles Petras DDS is a healthcare organization registered as Orthodontics and Dentofacial Orthopedics Dentistry in Redding, CA, holding Type 2 (organization) NPI 1790853653 since 2006. The authorized official on file is Gus Petras, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790853653 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gus Charles Petras DDS |
| Practice address | 400 HARTNELL AVENUE, Redding, CA, 96002 |
| Phone | 5302222473 |
| Fax | 5302223718 |
| Enumeration date | 2006-11-30 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Gus Petras |
|---|---|
| Title | Dentist |
| Phone | 5302222473 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Secondary | 22171 | CA |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Primary | 22171 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B2217101 | Other | CA | MEDICAL DENTICAL |
Copy-ready billing details
Provider: Gus Charles Petras DDS NPI: 1790853653 Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry) Address: 400 HARTNELL AVENUE, Redding, CA, 96002
Verify this record
Cross-check NPI 1790853653 against the authoritative CMS record: view Gus Charles Petras DDS on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Gus Charles Petras DDS located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-09-11.