NPIMap

Organization Active NPI

Falls Court Dentists PA

  • Dental Clinic/Center
  • Little Falls, MN
National Provider Identifier
1124096011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FALLS COURT DENTISTS PA
Practice address
119 NE First Street
Ste 4
Little Falls, MN 56345
Phone
(320) 632-6621
Fax
(320) 632-1829
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lyle Mark Gessell, DDSNPI 1770551152
Title
Owner Corp Vice President
Phone
(320) 632-6621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X MN Primary

Addresses

Primary practice location

119 NE First Street
Ste 4
Little Falls, MN 56345

Mailing address

119 NE First Street
Ste 4
Little Falls, MN 56345
Phone (320) 632-6621

Other identifiers 3

IdentifierTypeStateIssuer
85320EAOtherBLUE CROSS BLUE SHIELD
812989OtherUNITED OF CONCORDIA
1265OtherHEALTH PARTNERS

National Provider Directory

National Provider Directory
Tax ID family
Falls Court Dentists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

119 1st St NE
Ste 4
Little Falls, MN 56345
Phone (320) 632-6621

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124096011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NE FIRST STREET",
            "address_2": "STE 4",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "56345",
            "telephone_number": "320-632-6621",
            "fax_number": "320-632-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NE FIRST STREET",
            "address_2": "STE 4",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "56345",
            "telephone_number": "320-632-6621",
            "fax_number": "320-632-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS COURT DENTISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GESSELL",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER CORP VICE PRESIDENT",
        "authorized_official_telephone_number": "320-632-6621",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85320EA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED OF CONCORDIA",
            "identifier": "812989",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "1265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.