Diane C Hernandez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036040 Issued in PA

Practice address

390 Vineyard Way
Suite 505
West Grove, PA 19390-8835

Phone

(610) 869-6055

Fax

(610) 869-6099

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Premier Dental

  • General Practice Dentistry
  • West Grove, PA
  • NPI 1821280272
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188000000000",
    "number": "1194939595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 VINEYARD WAY",
            "address_2": "SUITE 505",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908835",
            "telephone_number": "610-869-6055",
            "fax_number": "610-869-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 VINEYARD WAY",
            "address_2": "SUITE 505",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908835",
            "telephone_number": "610-869-6055",
            "fax_number": "610-869-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DIANE",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Jack Guarneri, MPT, SCS, ATC
• Janelle Hadly
• David Hardic, OD
• Harmony Counseling Center
• George Keith Henry, MD
• Dawn Michelle Highfield, MSPT
• Fred Raymond Himmelstein, MD
• Julie Drew Holcombe, RBT
• Karen Hopkins, PT
• Diane Catherine Hudak

• General Practice Dentistry in West Grove, PA
• Providers in West Grove, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.