Individual provider Active NPI

Kristin West Herring, D.D.S

  • General Practice Dentistry
  • Hickory, NC
National Provider Identifier
1487661641
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8041 Issued in NC
Practice address
1930 Woodridge Dr
Hickory, NC 28602-5592
Phone
(828) 294-1044
NPI assigned
Aug 1, 2006
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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 8041 NC Primary

Addresses

Primary practice location

1930 Woodridge Dr
Hickory, NC 28602-5592

Mailing address

1930 Woodridge Dr
Hickory, NC 28602-5592
Phone (828) 294-1044

Other identifiers 3

IdentifierTypeStateIssuer
9028JOtherBCBS IND. #
DENTAL LICENCEOtherNC8041
5904873MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160121002755 NC Order and Referring Only - DentistPractitioner - Dentist 7012210230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8041NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin W Herring, DDS, PLLC Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1487661641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WOODRIDGE DR",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025592",
            "telephone_number": "828-294-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 WOODRIDGE DR",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025592",
            "telephone_number": "828-294-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "KRISTIN",
        "middle_name": "WEST",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND. #",
            "identifier": "9028J",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8041",
            "identifier": "DENTAL LICENCE",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904873",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.