Ana Isabella Hernandez, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DRPM2758 Issued in FL

Practice address

2612 E Calumet St
Appleton, WI 54915-4104

Phone

(920) 739-6808

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Haven for Children SC

  • Pediatric Dentistry
  • Appleton, WI
  • NPI 1598105637
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699516609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 WILLOWTREE LN",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158650",
            "telephone_number": "920-277-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154104",
            "telephone_number": "920-739-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANA",
        "middle_name": "ISABELLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DRPM2758",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6001475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Hermans, NP
• Jacob Hermes, BCBA
• Michelle M Hermes, RN, BSN
• Lauren Hermus, DPT
• Ryan J Hermus, APNP
• Gonzalo E Hernandez, D.D.S
• Jose Mauricio Hernandez Jr., M.D.
• Nicole Hernandez, RN
• Kristi Herrick
• Ashley Herriges, LAT

• Pediatric Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.