Ronald Clayton Hermes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3292 Issued in LA

Practice address

7101 Pines Rd
Shreveport, LA 71129-3403

Phone

(318) 688-2970

Fax

(318) 688-2972

NPI assigned

Jan 4, 2007

Last updated

Dec 15, 2015By the provider in NPPES

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

Enrolled in LA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1215084934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 FERN AVENUE, SUITE 100",
            "city": "SHREVPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-797-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293403",
            "telephone_number": "318-688-2970",
            "fax_number": "318-688-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMES",
        "first_name": "RONALD",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Herke, PA
• Tammi Herkey, NP
• Hermes Transport Services, L.L.C.
• Amy Hermes, LOTR
• Rachel Hermes
• Grethel Navarro Hernandez
• Robert C Hernandez, MD
• Heroes First Mental Health
• Eric Joseph Herpin, LAC
• Kenetta Herrin

• General Practice Dentistry in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.