Individual provider Active NPI

Lynn A Jester, DMD

  • Dentist
  • Louisville, KY
National Provider Identifier
1235252560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4385 Issued in KY
Practice address
9112 Leesgate Rd
Louisville, KY 40222-5054
Phone
(502) 426-5267
Fax
(502) 426-5975
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4385 KY Primary

Addresses

Primary practice location

9112 Leesgate Rd
Louisville, KY 40222-5054

Mailing address

9112 Leesgate Rd
Louisville, KY 40222-5054
Phone (502) 426-5267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150721003193 OH Order and Referring Only - DentistPractitioner - Dentist 6709199607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235252560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9112 LEESGATE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225054",
            "telephone_number": "502-426-5267",
            "fax_number": "502-426-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9112 LEESGATE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225054",
            "telephone_number": "502-426-5267",
            "fax_number": "502-426-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTER",
        "first_name": "LYNN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "4385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.