Individual provider Active NPI

Joshua Herzlinger, D.D.S.

  • Dentist
  • Corinth, NY
National Provider Identifier
1265455786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
032344-1 Issued in NY
Practice address
400 Palmer Ave
Corinth, NY 12822-1218
Phone
(518) 654-9891
Fax
(518) 654-7198
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 032344-1 NY Primary

Addresses

Primary practice location

400 Palmer Ave
Corinth, NY 12822-1218

Mailing address

400 Palmer Ave
Corinth, NY 12822-1218
Phone (518) 654-9891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615001271 NY Order and Referring Only - DentistPractitioner - Dentist 5395056592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032344-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Herzlinger DDS PLLC Past Accepting new patients

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265455786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PALMER AVE",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221218",
            "telephone_number": "518-654-9891",
            "fax_number": "518-654-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PALMER AVE",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221218",
            "telephone_number": "518-654-9891",
            "fax_number": "518-654-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZLINGER",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "032344-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, NY

Sources for this page

Verify at the official NPI Registry.