Active NPI
Jacob Isaac Ihle, DDS
- Dentist
- Fergus Falls, MN
National Provider Identifier
1376975250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13307
- Practice address
- 1409 College Way
Fergus Falls, MN 56537-1055 - Phone
- (218) 739-3245
- NPI assigned
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13307 | MN | Primary |
Addresses
Primary practice location
1409 College Way
Fergus Falls, MN 56537-1055
Mailing address
1409 College Way
Fergus Falls, MN 56537-1055
Phone (218) 365-3145
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13307 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ottertail Dental | Current | Accepting new patients |
Locations
1409 College Way
Fergus Falls, MN 56537
Phone (218) 739-3245
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.
-
- General Practice Dentistry
- Fergus Falls, MN
- NPI 1528673365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1376975250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 COLLEGE WAY",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565371055",
"telephone_number": "218-365-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 COLLEGE WAY",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565371055",
"telephone_number": "218-739-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IHLE",
"first_name": "JACOB",
"middle_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.