John R Herrin, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2063 Issued in NH

Practice address

170 S River Rd
Bedford, NH 03110-6941

Phone

(603) 624-8787

Fax

(603) 624-7944

NPI assigned

Aug 25, 2005

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

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.

Opted out of Medicare

Yes, effective Feb 16, 2017 through Feb 16, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1194718031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106941",
            "telephone_number": "603-624-8787",
            "fax_number": "603-624-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106941",
            "telephone_number": "603-624-8787",
            "fax_number": "603-624-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIN",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine E Henneberry, D.O.
• Jacqueline Renee Henry, PT
• Gabrielle Hernandez
• Audrey Ann Herod, DMD
• Kenneth R Herr, MD
• Stephanie Lynn Hersh, MS, BCBA
• Nicole Hetko
• Kristin Lee Hewitt, OTR/L
• Peter Spencer Heyl, M.D.
• Wendi Anne Hieronymus, LCMHC

• Periodontics in Bedford, NH
• Providers in Bedford, NH by specialty
• Periodontics in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.