Active NPI
James P. Herman, D.D.S.
- Periodontics
- Hales Corners, WI
National Provider Identifier
1003052895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 5000425-015
- Practice address
- 5624 S Bonnie LN
Hales Corners, WI 53130-1674 - Phone
- (414) 425-5841
- NPI assigned
- Dec 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5000425-015 | WI | Primary |
| Periodontics | 1223P0300X | 5000425015 | WI |
Addresses
Primary practice location
5624 S Bonnie LN
Hales Corners, WI 53130-1674
Mailing address
5624 S Bonnie LN
Hales Corners, WI 53130-1674
Phone (414) 425-5841
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5000425-015 | WI | MD | Periodontist |
| 5000425015 | WI | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230422400000",
"number": "1003052895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5624 S BONNIE LN",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301674",
"telephone_number": "414-425-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5624 S BONNIE LN",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301674",
"telephone_number": "414-425-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "JAMES",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-28",
"last_updated": "2008-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WI",
"license": "5000425-015",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WI",
"license": "5000425015",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hales Corners, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.