Individual provider Active NPI

Timothy G. Herring, D.M.D.

  • Dentist
  • Sarasota, FL
National Provider Identifier
1710101878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10304 Issued in FL
Practice address
1445 S Osprey Ave
Sarasota, FL 34239-2920
Phone
(941) 366-3894
Fax
(941) 955-7235
NPI assigned
Apr 12, 2007
Sex
Male
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN10304 FL Primary
Dentist 122300000X 3939 AL

Addresses

Primary practice location

1445 S Osprey Ave
Sarasota, FL 34239-2920

Mailing address

1445 S Osprey Ave
Sarasota, FL 34239-2920
Phone (941) 366-3894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160229000760 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8820393937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10304FLMDDentist
3939ALMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710101878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 S OSPREY AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392920",
            "telephone_number": "941-366-3894",
            "fax_number": "941-955-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 S OSPREY AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392920",
            "telephone_number": "941-366-3894",
            "fax_number": "941-955-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "TIMOTHY",
        "middle_name": "G.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10304",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.