NPIMap

Organization Active NPI

Herman Dental Corporation

  • Dentist
  • Roseville, CA
National Provider Identifier
1669631172
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36937 Issued in CA
Legal business name
HERMAN DENTAL CORPORATION
Practice address
1258 Coloma Way
Roseville, CA 95661
Phone
(916) 784-1144
Fax
(916) 786-2409
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Dr. Tim J Herman
Title
Dentist President
Phone
(916) 784-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 36937 CA Primary

Addresses

Primary practice location

1258 Coloma Way
Roseville, CA 95661

Mailing address

1258 Coloma Way
Roseville, CA 95661-4602
Phone (916) 784-1144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1669631172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 COLOMA WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614602",
            "telephone_number": "916-784-1144",
            "fax_number": "916-786-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 COLOMA WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-784-1144",
            "fax_number": "916-786-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "916-784-1144",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.