Erich Herbst, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3876-015 Issued in WI

Practice address

1203 8TH St
Baraboo, WI 53913-1805

Phone

(608) 356-2112

Fax

(608) 356-0919

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285789495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 8TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131805",
            "telephone_number": "608-356-2112",
            "fax_number": "608-356-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 8TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131805",
            "telephone_number": "608-356-2112",
            "fax_number": "608-356-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBST",
        "first_name": "ERICH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "3876-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANCARE  PROVIDER NUMBER",
            "identifier": "1901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS PROV. #",
            "identifier": "1008608",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33677900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Marie Hayes, MA
• Sandra L Hayes, NP
• Thomas J. Hayes, PH.D.
• Dawn L Heckenkamp, LPC
• Amy J Heimann
• Annette Rae Hibner, LMFT-IT
• Ho Chunk Nation
• Ho Chunk Nation
• Ho Chunk Nation
• Ho-Chunk Nation

• Oral and Maxillofacial Surgery (Dentist) in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• 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.

Verify at the official NPI Registry.