Individual provider Active NPI

Todd Alan Herpy, D.D.S

  • Dentist
  • Madison, WI
National Provider Identifier
1649652769
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001123 Issued in NE
Practice address
2 Science CT
Madison, WI 53711-1088
Phone
(402) 640-6857
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001123 NE Primary

Addresses

Primary practice location

2 Science CT
Madison, WI 53711-1088

Mailing address

2 Science CT
Madison, WI 53711-1088
Phone (402) 640-6857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160107001532 WI Order and Referring Only - DentistPractitioner - Dentist 8921300997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001123NEMDDentist

Interoperability endpoints

  • Direct secure messaging: todd.herpy@smhwc.directbygreenway.com

NPI Registry JSON

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": "1649652769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SCIENCE CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111088",
            "telephone_number": "402-640-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SCIENCE CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111088",
            "telephone_number": "402-640-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERPY",
        "first_name": "TODD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "1001123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.