Individual provider Active NPI

William G Herrington, DDS

  • General Practice Dentistry
  • Carthage, MO
National Provider Identifier
1629236948
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013738 Issued in MO
Practice address
1515 Hazel St
Suite 200
Carthage, MO 64836-2850
Phone
(417) 358-4231
Fax
(417) 358-9387
NPI assigned
May 23, 2008
Last updated
May 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20150605000480 MO Order and Referring Only - DentistPractitioner - Dentist 9133440969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William G. Herrington, DDS PC General Practice PastSince Dec 8, 1994 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1629236948",
    "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": {
        "last_name": "HERRINGTON",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_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

Verify at the official NPI Registry.