Active NPI
Eric James Herbranson, D.D.S.
- Endodontics
- San Leandro, CA
National Provider Identifier
1407996242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 21258
- Practice address
- 299 Juana Ave
Suite a
San Leandro, CA 94577-4838 - Phone
- (510) 895-1470
- Fax
- (510) 895-1473
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 21258 | CA | Primary |
Addresses
Primary practice location
299 Juana Ave
Suite a
San Leandro, CA 94577-4838
Mailing address
299 Juana Ave
Suite a
San Leandro, CA 94577-4838
Phone (510) 895-1470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407996242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 JUANA AVE",
"address_2": "SUITE A",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774838",
"telephone_number": "510-895-1470",
"fax_number": "510-895-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 JUANA AVE",
"address_2": "SUITE A",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774838",
"telephone_number": "510-895-1470",
"fax_number": "510-895-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBRANSON",
"first_name": "ERIC",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "21258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- 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.