Active NPI
Charles Daniel Hertz, D.D.S.
- General Practice Dentistry
- York, PA
National Provider Identifier
1033564489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS041196
- Practice address
- 1447 E Market St
York, PA 17403 - Phone
- (717) 845-2271
- Fax
- (717) 851-3565
- NPI assigned
- May 3, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DS041196 | PA | Primary |
Addresses
Primary practice location
1447 E Market St
York, PA 17403
Mailing address
1447 E Market St
York, PA 17403-1254
Phone (717) 845-2271
Other practice location 1
1447 E Market St
York, PA 17403
Phone (717) 845-2271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 4, 2019 through Apr 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041196 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1447 Dental Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- York, PA
- NPI 1316110554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1033564489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 E MARKET ST",
"city": "YORK",
"state": "PA",
"postal_code": "174031254",
"telephone_number": "717-845-2271",
"fax_number": "717-851-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 E MARKET ST",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-845-2271",
"fax_number": "717-851-3565"
}
],
"practiceLocations": [
{
"address_1": "1447 E Market St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "17403",
"country_code": "US",
"telephone_number": "717-845-2271",
"fax_number": "717-851-3565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERTZ",
"first_name": "CHARLES",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-03",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS041196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.