Organization Active NPI

Rick Herrmann Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mansfield, TX
National Provider Identifier
1376606673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
16967 Issued in TX
Legal business name
RICK HERRMANN ORTHODONTICS PA
Practice address
2300 Matlock Rd
Suite 28
Mansfield, TX 76063-5019
Phone
(817) 473-9880
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rick Herrmann, DDS MSNPI 1619030848
Title
President
Phone
(817) 473-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 16967 TX Primary

Addresses

Primary practice location

2300 Matlock Rd
Suite 28
Mansfield, TX 76063-5019

Mailing address

2300 Matlock Rd
Suite 28
Mansfield, TX 76063-5019
Phone (817) 473-9880

Other identifiers 1

IdentifierTypeStateIssuer
86D839OtherTXBCBS

Other names 1

  • Rick Herrmann DDS MS Former legal business name

National Provider Directory

National Provider Directory

Locations

2300 Matlock Rd
Ste 28
Mansfield, TX 76063
Phone (817) 473-9880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376606673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD",
            "address_2": "SUITE 28",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635019",
            "telephone_number": "817-473-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD",
            "address_2": "SUITE 28",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635019",
            "telephone_number": "817-473-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK HERRMANN ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-473-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "16967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86D839",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rick Herrmann DDS MS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.