Active NPI
Eric J Herman, DDS
- Dentist
- Devils Lake, ND
National Provider Identifier
1043669310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2283
- Practice address
- 206 5TH Ave SE
Devils Lake, ND 58301-3602 - Phone
- (701) 662-8191
- Fax
- (701) 662-5757
- NPI assigned
- Jun 8, 2016
- Last updated
- Jun 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2283 | ND | Primary |
Addresses
Primary practice location
206 5TH Ave SE
Devils Lake, ND 58301-3602
Mailing address
206 5TH Ave SE
Devils Lake, ND 58301-3602
Phone (701) 662-8191
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 Jul 19, 2016 through Jul 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2283 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Herman & Mack PC | 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, 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": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1043669310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 5TH AVE SE",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013602",
"telephone_number": "701-662-8191",
"fax_number": "701-662-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 5TH AVE SE",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013602",
"telephone_number": "701-662-8191",
"fax_number": "701-662-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "ERIC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "2283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.