Elisa Herrman DMD LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ELISA HERRMAN DMD LLC

Doing business as

Wilsonville Orthodontics

Practice address

9475 SW Wilsonville Rd
Wilsonville, OR 97070-7522

Phone

(269) 605-9408

NPI assigned

Jan 3, 2025

Last updated

Jan 3, 2025By 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

Elisa Herrman, DMD, MSNPI 1912599929

Title

Manager

Phone

(269) 605-9408

Specialties & licenses 1

Addresses

Other names 1

• Wilsonville Orthodontics Doing business as

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.

• Elisa Ilse-Frances Herrman, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilsonville, OR
  • NPI 1912599929
  NPD Authorized official

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1215746300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 NE 163RD ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427975",
            "telephone_number": "269-605-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 SW WILSONVILLE RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707522",
            "telephone_number": "269-605-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA HERRMAN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "HERRMAN",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-605-9408",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilsonville Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Susanne Dyer, PA-C
• Andrea Earnest
• Raghu R Earni
• Kaitlyn Ruth Eaton
• Klara Louise Ecklund, L.M.T.
• Elysium Health Cooperative (Ehco)
• Emeritus Corporation (Brookdale Wilsonville)
• Empowerme Rehabilitation, LLC
• Riley Eugene Enberg
• Armasabille Navalon Ermita, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.