Adam Richard Hertig, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12011943A Issued in IN

Practice address

4109 Lahmeyer Rd
Fort Wayne, IN 46815-5666

Phone

(260) 486-3100

NPI assigned

May 28, 2013

Sex

Male

Sole proprietor

Yes

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

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.

• Dr Alyssa Fisher LLC

  • Dentist
  • Fort Wayne, IN
  • NPI 1366047326
  NPD (past)
• Dr. L Gary Painter PC

  • Dentist
  • Fort Wayne, IN
  • NPI 1639501273
  NPD (past)
• Jeffrey J. Shambaugh DMD PC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1568838225
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1720425010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 LAHMEYER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155666",
            "telephone_number": "260-486-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 LAHMEYER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155666",
            "telephone_number": "260-486-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTIG",
        "first_name": "ADAM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011943A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy B. Hershberger, LMHC
• Eric C Hershey, PHARM D
• Sara C Herstad, DO
• Michelle K Hertel, ATC, LAT
• Lindsey M. Hertenstein, NP
• Connor Hesher, MD
• Cheryl L. Hess, M.D.
• Deborah Sperling Hess, M.D.
• Hannah Helena Hess, PA-C
• Jacob Vincent Hess

• Dentist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.