Jason M. Herrick, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

016100 Issued in MO

Practice address

13010 Butler Crest Dr
Saint Louis, MO 63128-4276

Phone

(314) 842-6200

Fax

(314) 842-8859

NPI assigned

May 1, 2008

Sex

Male

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1659547438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 BUTLER CREST DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284276",
            "telephone_number": "314-842-6200",
            "fax_number": "314-842-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 BUTLER CREST DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284276",
            "telephone_number": "314-842-6200",
            "fax_number": "314-842-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "JASON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "016100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Herrell
• Erin Leigh Herrera, CRNA
• Felix Emmanuel Herrera, MD
• Iris Stephanie Herrera
• Sara Herrera
• Brittany Elizabeth Herrin, DO
• Thomas Sanford Herrin, MD
• Dawn Elise Herring, LPN
• Olivia Jean Herring, PLPC
• Brooke Lynn Herrington, RDN, LDN

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.