Gail Engasser Park, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9375 Issued in MN

Practice address

6600 Excelsior Blvd
Suite 191
St Louis Park, MN 55426-4744

Phone

(952) 931-9961

Fax

(952) 931-3944

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Twin Cities TMJ & Facial Pain Clinic, LTD.

  • Dentist
  • St Louis Park, MN
  • NPI 1225201213
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780762807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15011 LINNER RDG",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912244",
            "telephone_number": "952-473-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BLVD",
            "address_2": "SUITE 191",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264744",
            "telephone_number": "952-931-9961",
            "fax_number": "952-931-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "GAIL",
        "middle_name": "ENGASSER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Nicollet Methodist Hospital (Park Nicollet Home Infusion)
• Park Nicollet Methodist Hospital (Park Nicollet Home Infusion)
• Park Nicollet Methodist Hospital (Park Nicollet Melrose Center)
• Park Nicollet- Methodist Hospital
• Park Psychotherapy & Consulting Inc
• Parkdale Therapy Group, LLC
• Erin Devine Parker, M.T.
• Jeannie Rae Parker, M.S., CCC-SLP
• Meiling Hua Parker, MD
• Valerie Parker

• Dentist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.