Individual provider Active NPI

Dawn Martin-Herring

  • Obstetrics & Gynecology Physician
  • Shelby, NC
National Provider Identifier
1265419444
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200300257 Issued in NC
Practice address
110 W Grover St
Shelby, NC 28150-3825
Phone
(980) 487-2800
NPI assigned
Dec 28, 2005
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 200300257 NC Primary

Addresses

Primary practice location

110 W Grover St
Shelby, NC 28150-3825

Mailing address

110 W Grover St
Shelby, NC 28150-3825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611002873 AZ Practitioner - Obstetrics/Gynecology 1456483957 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200300257NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Jun 16, 2023 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince Feb 22, 2024 Accepting new patients

Locations

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1265419444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503825",
            "telephone_number": "980-487-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-HERRING",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200300257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.