NPIMap

Organization Active NPI

Rene Herrera DDS, a Professional Corporation

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1053790105
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41837 Issued in CA
Legal business name
RENE HERRERA DDS, A PROFESSIONAL CORPORATION
Practice address
1029 Stine Rd
Bakersfield, CA 93309-4142
Phone
(661) 836-6651
Fax
(661) 836-6654
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Rene Herrera, DDSNPI 1194835884
Title
President/Owner
Phone
(661) 836-6651

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 41837 CA Primary

Addresses

Primary practice location

1029 Stine Rd
Bakersfield, CA 93309-4142

Mailing address

1029 Stine Rd
Bakersfield, CA 93309-4142
Phone (661) 836-6651

National Provider Directory

National Provider Directory

Locations

1029 Stine Rd
Bakersfield, CA 93309
Phone (661) 304-5566

Practitioners & affiliated clinicians

Practitioners 1

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": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1053790105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094142",
            "telephone_number": "661-836-6651",
            "fax_number": "661-836-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094142",
            "telephone_number": "661-836-6651",
            "fax_number": "661-836-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE HERRERA DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "661-836-6651",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.