Organization Active NPI

Child Neurology Solutions PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Saint Paul, MN
National Provider Identifier
1205200383
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
42885 Issued in MN
Legal business name
CHILD NEUROLOGY SOLUTIONS PLLC
Practice address
360 Sherman St
Suite 399, Fort Road Medical Center
Saint Paul, MN 55102-2564
Phone
(651) 356-0136
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Dr. Beth Gilles, M.D.
Title
Owner
Phone
(651) 356-0136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X 42885 MN Primary

Addresses

Primary practice location

360 Sherman St
Suite 399, Fort Road Medical Center
Saint Paul, MN 55102-2564

Mailing address

360 Sherman St
Suite 399, Fort Road Medical Center
Saint Paul, MN 55102-2564
Phone (651) 356-0136

National Provider Directory

National Provider Directory

Locations

360 Sherman St
Ste 399
Saint Paul, MN 55102
Phone (651) 292-1939

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1205200383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST",
            "address_2": "SUITE 399, FORT ROAD MEDICAL CENTER",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022564",
            "telephone_number": "651-356-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST",
            "address_2": "SUITE 399, FORT ROAD MEDICAL CENTER",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022564",
            "telephone_number": "651-356-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD NEUROLOGY SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "GILLES",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-356-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MN",
            "license": "42885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.