NPIMap

Organization Active NPI

Michael a. Herbert. DDS

  • General Practice Dentistry
  • Williamson, NY
National Provider Identifier
1043724115
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036032 Issued in NY
Legal business name
MICHAEL A. HERBERT. DDS
Practice address
6127 Maple Ave
Williamson, NY 14589-8001
Phone
(315) 589-2813
Fax
(315) 589-2144
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Michael Herbert, DDSNPI 1174699144
Title
Owner
Phone
(315) 589-2813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 036032 NY Primary

Addresses

Primary practice location

6127 Maple Ave
Williamson, NY 14589-8001

Mailing address

PO Box 3
Williamson, NY 14589-0003
Phone (315) 589-2813

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1043724115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145890003",
            "telephone_number": "315-589-2813",
            "fax_number": "315-589-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 MAPLE AVE",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145898001",
            "telephone_number": "315-589-2813",
            "fax_number": "315-589-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. HERBERT. DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-589-2813",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.