Herman Dental Clinic PA

Primary specialty

DentistTaxonomy code 122300000X

License

D11698 Issued in MN

Legal business name

HERMAN DENTAL CLINIC PA

Practice address

620 N Highway 44/76
Caledonia, MN 55921

Phone

(507) 725-3341

NPI assigned

Dec 6, 2005

Last updated

Jan 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah R Herman, DDSNPI 1497811335

Title

Owner/Dentist

Phone

(507) 725-3341

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Ruth Herman, DDS

  • Dentist
  • Caledonia, MN
  • NPI 1497811335
  Authorized official Same address or phone

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1104800705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N HIGHWAY 44/76",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "55921",
            "telephone_number": "507-725-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N HIGHWAY 44/76",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "55921",
            "telephone_number": "507-725-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN DENTAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "507-725-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "781170500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James John Fink, DC
• Gundersen Clinic LTD
• Keli Gwost, MS
• Abraham Joseph Hammell, D.O.
• Amanda Mae Hartzell Middendorf, APNP
• Sarah Ruth Herman, DDS
• Hiawatha Valley Mental Health Center
• Houston County Auditor (Houston County Public Health)
• Houston County Human Services
• Independent School District #299

• Dentist in Caledonia, MN
• Providers in Caledonia, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.