Individual provider Active NPI

Jesse Nease, D.D.S

  • General Practice Dentistry
  • Fergus Falls, MN
National Provider Identifier
1407282700
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13263 Issued in MN
Practice address
2001 W Lincoln Ave
Suite 33
Fergus Falls, MN 56537-1010
Phone
(218) 998-2218
Fax
(218) 998-2213
NPI assigned
Sep 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13263 MN Primary

Addresses

Primary practice location

2001 W Lincoln Ave
Suite 33
Fergus Falls, MN 56537-1010

Mailing address

7013 Lee Valley Cir
Minneapolis, MN 55439-1827
Phone (612) 462-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528001136 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062732357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13263MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Tree Dental General Practice Past Accepting new patients

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1407282700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 LEE VALLEY CIR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554391827",
            "telephone_number": "612-462-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W LINCOLN AVE",
            "address_2": "SUITE 33",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371010",
            "telephone_number": "218-998-2218",
            "fax_number": "218-998-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEASE",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.