DRS. Heringhaus General Denitistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18512 Issued in OH

Legal business name

DRS. HERINGHAUS GENERAL DENITISTRY

Practice address

480 Glessner Ave
Mansfield, OH 44903-2056

Phone

(419) 524-7409

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Teresa L. Ingebrand

Title

Office Manager

Phone

(419) 524-7409

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568556595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032056",
            "telephone_number": "419-524-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032056",
            "telephone_number": "419-524-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. HERINGHAUS GENERAL DENITISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGEBRAND",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-524-7409"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3870413",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Donald Brown
• Jennifer Draper, LPC
• Kaylie Marie Dress
• Brianne Richelle Drinkard, PTA
• Brooke Drost
• Mandy Jill Drugan, LMT.
• David Brent Dudgeon Jr., MA PC
• Breanne Danielle Dudley
• Emily Duffey
• Sonya L. Duffey, RN

• General Practice Dentistry in Mansfield, OH
• Providers in Mansfield, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.