Individual provider Active NPI

Carolyn C Herring, D.M.D.

  • Endodontics
  • Fishersville, VA
National Provider Identifier
1376617217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401007824 Issued in VA
Practice address
907 Goose Creek Rd Ste 101
Fishersville, VA 22939-2302
Phone
(540) 886-0531
Fax
(540) 886-9756
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401007824 VA Primary

Addresses

Primary practice location

907 Goose Creek Rd Ste 101
Fishersville, VA 22939-2302

Mailing address

907 Goose Creek Rd Ste 101
Fishersville, VA 22939-2302
Phone (540) 886-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150611001530 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5294056537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401007824VAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376617217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 GOOSE CREEK RD STE 101",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392302",
            "telephone_number": "540-886-0531",
            "fax_number": "540-886-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 GOOSE CREEK RD STE 101",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392302",
            "telephone_number": "540-886-0531",
            "fax_number": "540-886-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "CAROLYN",
        "middle_name": "C",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401007824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.