Andrew Vaughan Herwig, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61204 Issued in KS

Practice address

11900 W 87TH Street Pkwy
Suite 260
Lenexa, KS 66215-2807

Phone

(913) 492-8884

Fax

(913) 492-4582

NPI assigned

Jun 25, 2015

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

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 Jan 19, 2024 through Jan 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Andrew V Herwig DDS PA

  • Dentist
  • Lenexa, KS
  • NPI 1164941795
  NPD (past)
• Robert V. Herwig, D.D.S., PA

  • General Practice Dentistry
  • Lenexa, KS
  • NPI 1902250954
  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1508248501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 W 87TH STREET PKWY",
            "address_2": "SUITE 260",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152807",
            "telephone_number": "913-492-8884",
            "fax_number": "913-492-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 W 87TH STREET PKWY",
            "address_2": "SUITE 260",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152807",
            "telephone_number": "913-492-8884",
            "fax_number": "913-492-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERWIG",
        "first_name": "ANDREW",
        "middle_name": "VAUGHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo J Hernandez-Rios, MD
• Clara Hernandez, RPH
• Devan Myrinda Heronemus, PT, DPT
• Bridgette Herrin Mavec, LCSW
• Shawn Allen Herrman, DC
• Caryn Hess, LPC
• Rebekah Angel Hess
• Christopher William Heye, DDS
• Sara A Hicks, M.D.
• Peter Joseph Higbie

• Dentist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.