Active NPI
Michael David Herbert, DDS
- Dentist
- Miami, FL
National Provider Identifier
1740347418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9226
- Practice address
- 12515 SW 88TH St
Suite 130
Miami, FL 33186-1870 - Phone
- (305) 271-9711
- Fax
- (305) 271-3013
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9226 | FL | Primary |
Addresses
Primary practice location
12515 SW 88TH St
Suite 130
Miami, FL 33186-1870
Mailing address
6032 Paradise Point Dr
Village of Palmetto Bay, FL 33157-2634
Phone (305) 254-6928
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101214000353 | FL | Practitioner - Oral Surgery | 7719174952 | Practice locations: Tallahasse, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9226 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740347418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6032 PARADISE POINT DR",
"city": "VILLAGE OF PALMETTO BAY",
"state": "FL",
"postal_code": "331572634",
"telephone_number": "305-254-6928",
"fax_number": "305-271-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12515 SW 88TH ST",
"address_2": "SUITE 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861870",
"telephone_number": "305-271-9711",
"fax_number": "305-271-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "9226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.