Donald L Herndon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2581 Issued in SC

Practice address

1376A Cleveland St
Greenville, SC 29607-2435

Phone

(864) 250-1500

Fax

(864) 250-1502

NPI assigned

Feb 27, 2007

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

Practice roles

Locations

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.

• Donald L. Herndon DMD PA

  • Dental Clinic/Center
  • Greenville, SC
  • NPI 1982348504
  NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457488579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376A CLEVELAND ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072435",
            "telephone_number": "864-250-1500",
            "fax_number": "864-250-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376A CLEVELAND ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072435",
            "telephone_number": "864-250-1500",
            "fax_number": "864-250-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Herman
• Fredy Hernandez Delgado, RBT
• Elizabeth Hernandez Villagra, BCBA
• Ann Hernandez, ATC, LAT
• Cameron Hernandez, LMFT-A
• Emily Herndon, FNP
• Wesley Herndon, DMD
• Elizabeth Mary Hernick, GNP-C
• Jasmine Herr, OTA
• Maria Herran Montes

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• 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.