Brenda Herrman, DDS, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DE015183 Issued in MO

Legal business name

BRENDA HERRMAN, DDS, LLC

Practice address

601 Commercial St
Warsaw, MO 65355-3412

Phone

(660) 438-7355

Fax

(660) 438-7356

NPI assigned

Jul 12, 2015

Last updated

Jul 12, 2015By 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

Brenda Herrman, DDSNPI 1689774200

Title

Owner

Phone

(417) 838-9199

Specialties & licenses 1

Addresses

Other names 1

• Spring Lake Dental Other name

Locations

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.

• Brenda Phillips Herrman, DDS

  • General Practice Dentistry
  • Seneca, MO
  • NPI 1689774200
  Authorized official Same address or phone

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436659200000",
    "number": "1184008955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653550455",
            "telephone_number": "660-438-7355",
            "fax_number": "660-438-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COMMERCIAL ST",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653553412",
            "telephone_number": "660-438-7355",
            "fax_number": "660-438-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA HERRMAN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-12",
        "last_updated": "2015-07-12",
        "status": "A",
        "authorized_official_last_name": "HERRMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-838-9199",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "DE015183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Lake Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jessica Burdick, RDH
• Rebecca G Camden, LCSW
• Amber Blondean Campbell, D.O.

• Dentist in Warsaw, MO
• Providers in Warsaw, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2015; 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.