Jaclyne Ivette Herrera, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN19459 Issued in FL

Practice address

8438 SW 103Rd Street Rd
Ocala, FL 34481-7766

Phone

(352) 237-3343

Fax

(352) 861-1091

NPI assigned

Aug 17, 2011

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CDPG, P.L.

  dba Christie Dental Ocala Southwest

  • General Practice Dentistry
  • Ocala, FL
  • NPI 1396406153
  NPD

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1609156025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 SW 51ST TER",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749408",
            "telephone_number": "337-353-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8438 SW 103RD STREET RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817766",
            "telephone_number": "352-237-3343",
            "fax_number": "352-861-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JACLYNE",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Monica Hernandez
• Nickolas Hernandez, DO
• Susana Hernandez, DMD
• Yebeska Ivette Hernandez
• Gustavo Herrera Garcia
• Ladden D Herrmann, CRNA
• Blake Herschberger
• Candyce Hess
• Free Nicole Hess, D.O.
• Kerri Hesselrode, FNP-C

• Dentist in Ocala, FL
• Providers in Ocala, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.