Individual provider Active NPI

Dawn Elizabeth Herber, DDS

  • Dentist
  • Saint James, NY
National Provider Identifier
1700095445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045899 Issued in NY
Practice address
331 First Ave
Saint James, NY 11780
Phone
(631) 584-5523
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 045899 NY Primary

Addresses

Primary practice location

331 First Ave
Saint James, NY 11780

Mailing address

331 First Ave
Saint James, NY 11780
Phone (631) 584-5523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160412000068 NY Order and Referring Only - DentistPractitioner - Dentist 1951609734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045899NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Family Dentistry of Saint James PC PastSince Feb 8, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dawne.herber@direct.stonybrookmedicine.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700095445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 FIRST AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-584-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 FIRST AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-584-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBER",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

Verify at the official NPI Registry.