Organization Active NPI

William G. Herrington, DDS PC

  • General Practice Dentistry
  • Carthage, MO
National Provider Identifier
1558422477
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013738 Issued in MO
Legal business name
WILLIAM G. HERRINGTON, DDS PC
Practice address
1515 Hazel St
Suite 200
Carthage, MO 64836-2850
Phone
(417) 358-4231
Fax
(417) 358-9387
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William G Herrington, DDSNPI 1629236948
Title
President
Phone
(417) 358-4231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 013738 MO Primary

Addresses

Primary practice location

1515 Hazel St
Suite 200
Carthage, MO 64836-2850

Mailing address

1515 Hazel St
Suite 200
Carthage, MO 64836-2850
Phone (417) 358-4231

Other identifiers 1

IdentifierTypeStateIssuer
401704903MedicaidMO

National Provider Directory

National Provider Directory

Locations

1515 Hazel Ave
Ste 200
Carthage, MO 64836
Phone (417) 358-4231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1558422477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HAZEL ST",
            "address_2": "SUITE 200",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362850",
            "telephone_number": "417-358-4231",
            "fax_number": "417-358-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HAZEL ST",
            "address_2": "SUITE 200",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362850",
            "telephone_number": "417-358-4231",
            "fax_number": "417-358-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. HERRINGTON, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "HERRINGTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-358-4231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401704903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.