Individual provider Active NPI

Andres F Herrera, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Salinas, CA
National Provider Identifier
1124239488
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
53705 Issued in CA
Practice address
546 Abbott St
Salinas, CA 93901-4000
Phone
(831) 424-7393
Fax
(831) 424-7953
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 53705 CA Primary

Addresses

Primary practice location

546 Abbott St
Salinas, CA 93901-4000

Mailing address

546 Abbott St
Salinas, CA 93901-4357
Phone (831) 424-7393

Other identifiers 1

IdentifierTypeStateIssuer
G89919-01OtherCADENTICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128000883 CA Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 9133443856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53705CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Andres F. Herrera, DDS, a Professional Corporation Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1124239488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 ABBOTT ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014357",
            "telephone_number": "831-424-7393",
            "fax_number": "831-424-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 ABBOTT ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014000",
            "telephone_number": "831-424-7393",
            "fax_number": "831-424-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ANDRES",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "53705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G89919-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.