Individual provider Active NPI

Bruce L. Herr Jr., D.D.S.

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1316105331
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D05251 Issued in AZ
Practice address
8490 S Power Rd Ste 106
Gilbert, AZ 85297-8029
Phone
(480) 580-1499
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D05251 AZ Primary

Addresses

Primary practice location

8490 S Power Rd Ste 106
Gilbert, AZ 85297-8029

Mailing address

8490 S Power Rd Ste 106
Gilbert, AZ 85297-8029
Phone (480) 580-1499

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

LicenseStateTypeSpecialty
D05251AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Power Sleep Az LLC General Practice Current Accepting new patients
Innovative Smile Makers LLC General Practice Current Accepting new patients
Greenfield Family Dentistry PC General Practice Past Accepting new patients

Locations

8490 S Power Rd
Ste 106
Gilbert, AZ 85297
Phone (480) 382-3314

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1316105331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 S POWER RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978029",
            "telephone_number": "480-580-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 S POWER RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978029",
            "telephone_number": "480-580-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "BRUCE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D05251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.