Brenda Phillips Herrman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE015183 Issued in MO

Practice address

1406 Chestnut St
Seneca, MO 64865-9261

Phone

(417) 776-2291

Fax

(417) 776-2292

NPI assigned

Sep 24, 2006

Last updated

Jan 18, 2020By 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 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

Practice roles

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.

• Brenda Herrman, DDS, LLC

  • Dentist
  • Warsaw, MO
  • NPI 1184008955
  Authorized official Same address or phone
• Seneca Family Dental Brenda Herrman, DDS, LLC

  • Dental Clinic/Center
  • Seneca, MO
  • NPI 1467817189
  NPD (past) Authorized official
• Randi Green D.M.D., LLC

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1942592977
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1689774200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4752 E TRAILWOOD WAY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658094318",
            "telephone_number": "417-838-9199",
            "fax_number": "888-513-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CHESTNUT ST",
            "city": "SENECA",
            "state": "MO",
            "postal_code": "648659261",
            "telephone_number": "417-776-2291",
            "fax_number": "417-776-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2053 S Waverly Ave",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042414",
            "country_code": "US",
            "telephone_number": "417-887-5155",
            "fax_number": "417-823-7497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRMAN",
        "first_name": "BRENDA",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE015183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Residence, Inc. (Seneca Home Place)
• D & W Consulting, L.L.C.
• James Davis, PHARM.D
• Ronald Edward Deweese
• Frank Eitemiller, PT
• Tabitha Hoggard
• Elizabeth McGehee, COTA/L
• Bailey Danett Mitchell, PHARMD
• Sarah T. Moran, DO
• Ashley Neely

• General Practice Dentistry in Seneca, MO
• Providers in Seneca, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; 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.