Joseph C Kern, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1871 Issued in ND

Practice address

21 W 5TH St
Grafton, ND 58237-1468

Phone

(701) 352-2013

Fax

(701) 352-3389

NPI assigned

Nov 17, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kern Family Dentistry, P.C.

  • Dental Clinic/Center
  • Grafton, ND
  • NPI 1073023453
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609940360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W 5TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371468",
            "telephone_number": "701-352-2013",
            "fax_number": "701-352-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W 5TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371468",
            "telephone_number": "701-352-2013",
            "fax_number": "701-352-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41232",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katlyn Kaiser, SLP
• Connie Kaste
• KB Pharmacy PLLC
• Alicia Kerian, SLP
• Kern Family Dentistry, P.C.
• Sooyoon Kim
• McKinzie Kipp
• Timothy Lynn Koehn
• Karly Koenig, SLP
• Paul Douglas Kolstoe, PH.D.

• All providers in Grafton, ND
• General Practice Dentistry in North Dakota

• 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.