Evelyn Limcangco Herrera, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11461 Issued in FL

Practice address

2292 Mayport Rd
Suite #17
Jacksonville, FL 32233

Phone

(904) 249-4269

Fax

(904) 249-4269

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063529113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 MAYPORT RD",
            "address_2": "SUITE #17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32233",
            "telephone_number": "904-249-4269",
            "fax_number": "904-249-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 MAYPORT RD",
            "address_2": "SUITE #17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32233",
            "telephone_number": "904-249-4269",
            "fax_number": "904-249-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "EVELYN",
        "middle_name": "LIMCANGCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Leeanne Herndon, APRN
• Antony Herrera Somoano
• Shabrina Typiana Herrera Thomas, LCSW
• Roberto Javier Herrera-Camacho, MD
• Lina Herrera-Guarneros, BS
• Grace A Herrera, APRN FNP-C
• Joanne Herrera, APRN
• Martha G Herrera, DPM
• Thalia Herrera
• Thomas Michael Herrera, MD

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.