Fred Hernandez Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31186 Issued in TX

Practice address

100 Medical Dr
Palestine, TX 75801-4780

Phone

(903) 729-7286

Fax

(903) 729-6395

NPI assigned

Jul 13, 2015

Sex

Male

Sole proprietor

No

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.

• Amanda Elling DDS PLLC

  • Dental Clinic/Center
  • Elkhart, TX
  • NPI 1962989194
  NPD (past)
• Herrington and Langley Restorative and Implant Dentistry, P.L.L.C.

  • General Practice Dentistry
  • Palestine, TX
  • NPI 1780907030
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1740664432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W PARKER ST",
            "address_2": "SUITE A",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "758397612",
            "telephone_number": "903-764-5531",
            "fax_number": "903-764-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014780",
            "telephone_number": "903-729-7286",
            "fax_number": "903-729-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "FRED",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernie S Hartley, MSN FNP-BC
• Healthy Eyes Vision Center PA
• Shawna Hedger, LPC
• Eric L Hensen, DO
• Debbie Banuelos Hernandez, FNP
• Herrington and Langley Restorative and Implant Dentistry, P.L.L.C.
• Carol Mattlage Herrington, DDS
• James B Herrington, DDS
• Jay Steven Herrington Sr., D.D.S.
• Hicks Counseling Servs

• General Practice Dentistry in Palestine, TX
• Providers in Palestine, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.