Thomas Hall Hermann, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1604 Issued in NM

Practice address

4111 Barbara Loop SE
D-2
Rio Rancho, NM 87124-1068

Phone

(505) 892-8211

Fax

(505) 892-5339

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205802691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE",
            "address_2": "D-2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-892-8211",
            "fax_number": "505-892-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE",
            "address_2": "D-2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-892-8211",
            "fax_number": "505-892-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "THOMAS",
        "middle_name": "HALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1604",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16994",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Hendricks
• Henry a Garcia MD PC
• Patrick J. Hepburn Sr., LMT
• Emily Heredia, SCHOOL PSYCHOLOGIST
• Paulette H. Herman, CNP
• Yubani Hernandez Miranda, MSW
• Kari Hernandez Valdez, LPCC
• Arely Hernandez, LMT
• Aurora Hernandez
• Camdyn Hernandez, LMSW

• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• General Practice Dentistry in New Mexico

• 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.