Active NPI
David Wesley Herbert, M.D.
- Pain Medicine (Anesthesiology) Physician
- Chandler, AZ
National Provider Identifier
1083689798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 20264
- Practice address
- 3195 W Ray Rd Ste 1
Chandler, AZ 85226-2417 - Phone
- (480) 756-6789
- Fax
- (480) 246-8902
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20264 | AZ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 20264 | AZ | Primary |
Addresses
Primary practice location
3195 W Ray Rd Ste 1
Chandler, AZ 85226-2417
Mailing address
3195 W Ray Rd Ste 1
Chandler, AZ 85226-2417
Phone (480) 756-6789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055691 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658534400000",
"number": "1083689798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3195 W RAY RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262417",
"telephone_number": "480-756-6789",
"fax_number": "480-246-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3195 W RAY RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262417",
"telephone_number": "480-756-6789",
"fax_number": "480-246-8902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "DAVID",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "20264",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "20264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055691",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.