Active NPI
Timothy Reed Herre, D.D.S.
- General Practice Dentistry
- Leawood, KS
National Provider Identifier
1508028267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60559
- Practice address
- 11201 Nall Ave
Suite 120
Leawood, KS 66211-1669 - Phone
- (913) 491-4466
- Fax
- (913) 469-1797
- NPI assigned
- Jun 25, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60559 | KS | Primary |
Addresses
Primary practice location
11201 Nall Ave
Suite 120
Leawood, KS 66211-1669
Mailing address
11201 Nall Ave
Suite 120
Leawood, KS 66211-1669
Phone (913) 491-4466
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60559 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Park Dental Associates | 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 and National Provider Directory roles.
-
- Dentist
- Leawood, KS
- NPI 1366699936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1508028267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 NALL AVE",
"address_2": "SUITE 120",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111669",
"telephone_number": "913-491-4466",
"fax_number": "913-469-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 NALL AVE",
"address_2": "SUITE 120",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111669",
"telephone_number": "913-491-4466",
"fax_number": "913-469-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRE",
"first_name": "TIMOTHY",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "60559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.