Casey Marie Herrera, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

36767 Issued in CA

Practice address

3301 El Camino Real Ste 270
Atherton, CA 94027-3866

Phone

(650) 556-9999

Fax

(650) 556-9990

NPI assigned

May 15, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 15, 2015 through May 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Darron R Rishwain DDS Inc

  • Periodontics
  • Atherton, CA
  • NPI 1841131943
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255547345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 EL CAMINO REAL STE 270",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273866",
            "telephone_number": "650-556-9999",
            "fax_number": "650-556-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 EL CAMINO REAL STE 270",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273866",
            "telephone_number": "650-556-9999",
            "fax_number": "650-556-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "CASEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "36767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellevatemd
• Robert Fennell, ATC, M.S.
• Mark Thomas Fowler, ATC
• Gardner Family Health Network Inc (Gardner Packard Children's Center)
• Amir Reza Ghorbani, D.D.S
• Kristen Michelle Ho, ATC
• Justin Honda
• Lawrence C. Horowitz, M.D.
• Jane S. Weston, M.D. , Medical Corporation
• Laili Javid, DDS

• Periodontics in Atherton, CA
• Providers in Atherton, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.