Organization Active NPI

John F. Herschleb D.D.S., Inc.

  • General Practice Dentistry
  • Kentfield, CA
National Provider Identifier
1346469574
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25903 Issued in CA
Legal business name
JOHN F. HERSCHLEB D.D.S., INC.
Practice address
1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427
Phone
(415) 456-5402
Fax
(415) 456-9275
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. John Frederick Herschleb, D.D.S.
Title
Dentist
Phone
(415) 456-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25903 CA Primary

Addresses

Primary practice location

1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427

Mailing address

1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427
Phone (415) 456-5402

National Provider Directory

National Provider Directory

Locations

1036 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 453-3461

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1346469574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041427",
            "telephone_number": "415-456-5402",
            "fax_number": "415-456-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041427",
            "telephone_number": "415-456-5402",
            "fax_number": "415-456-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. HERSCHLEB D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HERSCHLEB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-456-5402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.