James E. Lillenberg DDS Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

012959 Issued in MO

Legal business name

JAMES E. LILLENBERG DDS INC

Practice address

3802 South Lindbengh
Suite 108
Sunset Hills, MO 63127

Phone

(314) 244-3819

Fax

(314) 842-0259

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

James E Lillenberg, DDS

Title

Officer

Phone

(314) 570-2072

Specialties & licenses 1

Addresses

Other names 1

• James E Lillenberg DDS Inc Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1619425337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LADLIE GROVE LANE",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417469",
            "telephone_number": "314-570-2072",
            "fax_number": "314-842-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 SOUTH LINDBENGH",
            "address_2": "SUITE 108",
            "city": "SUNSET HILLS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-244-3819",
            "fax_number": "314-842-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. LILLENBERG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "LILLENBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "314-570-2072",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "012959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James E Lillenberg DDS Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abf/Romcare Health Services, L.L.C.
• Mark G Beck, DDS
• Pamela J Darmody, R. PH.
• John Ralph Firth, D.D.S., M.S.
• George D Bankhead DDS Ms PC
• Richard James Kohout, R.PH.
• Gary Lee Kremer, R. PH.
• Sharon Gail McDonald, M.D.

• All providers in Sunset Hills, MO
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.