NPIMap

Organization Active NPI

Michael C Herren DMD

  • Dentist
  • London, KY
National Provider Identifier
1225214547
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7414 Issued in KY
Legal business name
MICHAEL C HERREN DMD
Practice address
1221 W 5TH St
London, KY 40741-1612
Phone
(606) 864-4744
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Dr. Michael C Herren, DMDNPI 1457375594
Title
Owner
Phone
(606) 864-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7414 KY Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1221 W 5TH St
London, KY 40741-1612

Mailing address

1221 W 5TH St
London, KY 40741-1612
Phone (606) 864-4744

National Provider Directory

National Provider Directory

Locations

1221 W 5th St
London, KY 40741
Phone (606) 864-4744

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1225214547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W 5TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411612",
            "telephone_number": "606-864-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W 5TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411612",
            "telephone_number": "606-864-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C HERREN DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "HERREN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-864-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "7414",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.