Individual provider Active NPI

James Albert Joern, D.D.S.

  • General Practice Dentistry
  • El Reno, OK
National Provider Identifier
1508126772
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6395 Issued in OK
Practice address
1711 Investors Ave
El Reno, OK 73036-1607
Phone
(405) 262-1919
NPI assigned
May 22, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 6395 OK Primary

Addresses

Primary practice location

1711 Investors Ave
El Reno, OK 73036-1607

Mailing address

1711 Investors Ave
El Reno, OK 73036-1607
Phone (405) 262-1919

Other practice location 1

2005 Parkview Dr Ste 2
El Reno, OK 73036-2145
Phone (405) 262-1919

Other practice location 2

2005 Parkview Dr Ste 2
El Reno, OK 73036-2145
Phone (405) 262-1919

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
6395OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
El Reno Dental PastSince Nov 1, 2020 Accepting new patients
PLW Anesthesia LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508126772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 INVESTORS AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730361607",
            "telephone_number": "405-262-1919",
            "fax_number": "405-563-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 INVESTORS AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730361607",
            "telephone_number": "405-262-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Parkview Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "730362145",
            "country_code": "US",
            "telephone_number": "405-262-1919",
            "fax_number": "405-375-5863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Parkview Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "730362145",
            "country_code": "US",
            "telephone_number": "405-262-1919",
            "fax_number": "405-375-5863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOERN",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.