Individual provider Active NPI

William Joseph Herr, DDS

  • Dentist
  • Boston, MA
National Provider Identifier
1144634858
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856497 Issued in MA
Practice address
454 E 8TH St
Unit 3
Boston, MA 02127-4106
Phone
(419) 438-4789
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856497 MA Primary

Addresses

Primary practice location

454 E 8TH St
Unit 3
Boston, MA 02127-4106

Mailing address

454 E 8TH St
Unit 3
Boston, MA 02127-4106
Phone (419) 438-4789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618002660 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325359243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856497MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Capron Park Dental, PLLC Past Accepting new patients
Clear Coast Dental PLLC Past Accepting new patients

Organizations & group practices 2

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1144634858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E 8TH ST",
            "address_2": "UNIT 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021274106",
            "telephone_number": "419-438-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E 8TH ST",
            "address_2": "UNIT 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021274106",
            "telephone_number": "419-438-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.