Lester C Joern Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12510 Issued in MO

Practice address

6451 Chippewa St
Saint Louis, MO 63109-2104

Phone

(314) 752-7468

Fax

(314) 752-5168

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lester C Joern, Jr, DDS, PC

  dba South St. Louis Dental Group

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1720075005
  NPD (past) Authorized official
• Premium Vision Solutions, LLC

  dba Fontana Eyecare Associates

  • Optometrist
  • Saint Louis, MO
  • NPI 1174944011
  NPD (past)
• Tyler M Aholt DDS LLC

  • Dentist
  • Saint Louis, MO
  • NPI 1952775793
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154404879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092104",
            "telephone_number": "314-752-7468",
            "fax_number": "314-752-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092104",
            "telephone_number": "314-752-7468",
            "fax_number": "314-752-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOERN",
        "first_name": "LESTER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST COMMONWEALTH HMO",
            "identifier": "060020",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "17709",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - TEXAS",
            "identifier": "V12510",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DMO",
            "identifier": "014487",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DHMO",
            "identifier": "103338",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "519832",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MISSOURI",
            "identifier": "15138",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-ARKANSAS",
            "identifier": "CBAR1",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPBENEFITS HMO",
            "identifier": "470104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Behrmann MD Psychiatry & Psychotherapy LLC
• Kelsey Lynn Joe, OD
• Vincent Q Joe, MD
• Anne M Joergens, PT
• Shannon Marie Joerger, MD
• William Steven Joffe, M.D.
• Morris Joftus, M.D.
• Katie Lee Johanning, PHARM.D.
• Tanner Michael Johanns, MD
• Carrie Elise Johans, M.D

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.