Active NPI
Zachary Hernann, D.D.S.
- Dentist
- Aurora, CO
National Provider Identifier
1225476088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00203107
- Practice address
- 12101 E 2ND Ave Ste 206
Aurora, CO 80011-8328 - Phone
- (303) 343-2161
- Fax
- (630) 917-0880
- NPI assigned
- Jun 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00203107 | CO | Primary |
| Dentist | 122300000X | 019029425 | IL |
Addresses
Primary practice location
12101 E 2ND Ave Ste 206
Aurora, CO 80011-8328
Mailing address
3009 E 92ND St
Chicago, IL 60617
Phone (773) 978-7801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00203107 | CO | MD | Dentist |
| 019029425 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Pointe Dental PLLC | Current | Accepting new patients | |
| Julie E Haberstroh DDS | Past | Accepting new patients |
Locations
11410 Via Varra
Unit 400
Broomfield, CO 80020
Phone (720) 572-1617
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Broomfield, CO
- NPI 1346848496
-
- General Practice Dentistry
- Aurora, CO
- NPI 1659726693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1225476088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 E 92ND ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "773-978-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12101 E 2ND AVE STE 206",
"city": "AURORA",
"state": "CO",
"postal_code": "800118328",
"telephone_number": "303-343-2161",
"fax_number": "630-917-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANN",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00203107",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029425",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
- Rosaisela Hernandez
- Saul Hernandez, B.A.
- Shauni Marie Hernandez, RD
- Sophia Hernandez, PT, DPT
- Zuleyma Hernandez
- Jason Leon Herndon, M.S.
- Allison Hernquist, FNP
- Hero Dental of Aurora PC (Adventure Dental, Vision and Orthodontics)
- Hero Dental of Aurora PC (Adventure Dental, Vision and Orthodontics)
- Hero Dental of NE Denver PC (Adventure Dental, Vision and Orthodonitcs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.