Gary Emanuel Herbeck, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08184 Issued in FL

Practice address

1355 N Courtenay Pkwy
Suite K Town Square
Merritt Island, FL 32953-4401

Phone

(321) 459-0009

Fax

(321) 459-1181

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Practice roles

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

• Herbeck Dental LLC

  dba Herbeck Dental

  • Dental Clinic/Center
  • Merritt Island, FL
  • NPI 1740991652
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174674360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N COURTENAY PKWY",
            "address_2": "SUITE K TOWN SQUARE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534401",
            "telephone_number": "321-459-0009",
            "fax_number": "321-459-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N COURTENAY PKWY",
            "address_2": "SUITE K TOWN SQUARE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534401",
            "telephone_number": "321-459-0009",
            "fax_number": "321-459-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBECK",
        "first_name": "GARY",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "08184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanishia Henderson
• Alicia Lynn Hendrix
• Louise Henrikson, COTA/L
• Herbeck Dental LLC (Herbeck Dental)
• Alexis Herbeck, DMD
• Edgardo Antonio Hernandez Pons, M.D.
• Saidel Hernandez Vazquez
• Shane Christopher Hernesman, MD
• Heidar G Heshmati, MD
• Heydays Senior Day Program, Inc.

• General Practice Dentistry in Merritt Island, FL
• Providers in Merritt Island, 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.