Individual provider Active NPI

Tamara Jo Herremans, D.D.S.

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1063513745
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7261 Issued in CO
Practice address
965 S Kipling Pkwy
A
Lakewood, CO 80226-7525
Phone
(303) 984-1400
Fax
(909) 969-9679
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7261 CO Primary

Addresses

Primary practice location

965 S Kipling Pkwy
A
Lakewood, CO 80226-7525

Mailing address

965 S Kipling Pkwy
A
Lakewood, CO 80226-7525
Phone (303) 984-1400

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

LicenseStateTypeSpecialty
7261COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1063513745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S KIPLING PKWY",
            "address_2": "A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267525",
            "telephone_number": "303-984-1400",
            "fax_number": "909-969-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S KIPLING PKWY",
            "address_2": "A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267525",
            "telephone_number": "303-984-1400",
            "fax_number": "909-969-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREMANS",
        "first_name": "TAMARA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.