Individual provider Active NPI

Robert M. Herrera, DDS

  • General Practice Dentistry
  • Okemos, MI
National Provider Identifier
1730267667
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016940 Issued in MI
Practice address
3841 Okemos Rd
Okemos, MI 48864-3635
Phone
(517) 347-5030
Fax
(517) 347-0595
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016940 MI Primary

Addresses

Primary practice location

3841 Okemos Rd
Okemos, MI 48864-3635

Mailing address

3841 Okemos Rd
Okemos, MI 48864-3635
Phone (517) 347-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160727001188 MI Order and Referring Only - DentistPractitioner - Dentist 3971896069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016940MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Herrera DDS PC Past Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1730267667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643635",
            "telephone_number": "517-347-5030",
            "fax_number": "517-347-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643635",
            "telephone_number": "517-347-5030",
            "fax_number": "517-347-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.