Individual provider Active NPI

Jacob Isaac Ihle, DDS

  • Dentist
  • Fergus Falls, MN
National Provider Identifier
1376975250
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13307 Issued in MN
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D13307MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ottertail Dental CurrentSince Sep 13, 2020 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.

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.

Verify at the official NPI Registry.