Active NPI
Christian Eduardo Herrera
- Orthodontics and Dentofacial Orthopedics Dentistry
- Glen Allen, VA
National Provider Identifier
1225533102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0401415521
- Practice address
- 2026 Grey Oaks Park LN
Glen Allen, VA 23059-5771 - Phone
- (704) 247-0829
- NPI assigned
- Mar 24, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401415521 | VA | Primary |
Addresses
Primary practice location
2026 Grey Oaks Park LN
Glen Allen, VA 23059-5771
Mailing address
2026 Grey Oaks Park LN
Glen Allen, VA 23059-5771
Phone (704) 247-0829
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415521 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521849600000",
"number": "1225533102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026 GREY OAKS PARK LN",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595771",
"telephone_number": "704-247-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2026 GREY OAKS PARK LN",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595771",
"telephone_number": "704-247-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "CHRISTIAN",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-24",
"last_updated": "2018-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401415521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.