Active NPI
Christine L Hermanson, DDS
- Prosthodontics
- Maplewood, MN
National Provider Identifier
1265584213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D9287
- Practice address
- 1055 Hwy 36 E
Maplewood, MN 55109 - Phone
- (651) 481-9030
- Fax
- (651) 415-0275
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | D9287 | MN | Primary |
Addresses
Primary practice location
1055 Hwy 36 E
Maplewood, MN 55109
Mailing address
1055 Hwy 36 E
Maplewood, MN 55109
Phone (651) 481-9030
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 |
|---|---|---|---|
| D9287 | MN | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265584213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 HWY 36 E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "55109",
"telephone_number": "651-481-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 HWY 36 E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "55109",
"telephone_number": "651-481-9030",
"fax_number": "651-415-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMANSON",
"first_name": "CHRISTINE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MN",
"license": "D9287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.