Frederick J Hermanson, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9605 Issued in MN

Practice address

7300 147TH St W Ste 302
Apple Valley, MN 55124-7538

Phone

(952) 432-9155

Fax

(952) 431-3155

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356414452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 302",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247538",
            "telephone_number": "952-432-9155",
            "fax_number": "952-431-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 302",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247538",
            "telephone_number": "952-432-9155",
            "fax_number": "952-431-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANSON",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle M Heffernan, DC
• Jonathan Heiderscheit, CCC-SLP
• Margaret Eileen Heil, MT
• Marcie Henning
• Jadee Hentges
• Awil Hussein Hersi
• Badrio Abdirhakim Hersi
• Holly A Hett, MD
• Chad Menter Hill, D.C.
• Jaclyn Ashley Hillstrom, OTR/L

• General Practice Dentistry in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• General Practice Dentistry in Minnesota

• 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.