Individual provider Active NPI

Christopher T Herron, D.D.S.

  • General Practice Dentistry
  • Woodland Hills, CA
National Provider Identifier
1386732089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033096 Issued in CA
Practice address
6400 Canoga Ave
#180
Woodland Hills, CA 91367-2425
Phone
(818) 887-2880
Fax
(818) 887-2644
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 033096 CA Primary

Addresses

Primary practice location

6400 Canoga Ave
#180
Woodland Hills, CA 91367-2425

Mailing address

6400 Canoga Ave
#180
Woodland Hills, CA 91367-2425
Phone (818) 887-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 24, 2015 through Jun 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033096CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Warner Center Dental Group General Practice PastSince May 17, 2007 Accepting new patients

Organizations & group practices 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386732089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CANOGA AVE",
            "address_2": "#180",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672425",
            "telephone_number": "818-887-2880",
            "fax_number": "818-887-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CANOGA AVE",
            "address_2": "#180",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672425",
            "telephone_number": "818-887-2880",
            "fax_number": "818-887-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.