Herbeck Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HERBECK DENTAL LLC

Doing business as

Herbeck Dental

Practice address

1355 N Courtenay Pkwy Ste K
Merritt Island, FL 32953-4401

Phone

(321) 459-0009

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Alexis Noelle Herbeck, DMDNPI 1346974227

Title

Dentist

Phone

(321) 459-0009

Specialties & licenses 1

Addresses

Other names 1

• Herbeck Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Herbeck, DMD

  • Dentist
  • Merritt Island, FL
  • NPI 1346974227
  NPD Authorized official
• Gary Emanuel Herbeck, D.M.D.

  • General Practice Dentistry
  • Merritt Island, FL
  • NPI 1174674360
  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1740991652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N COURTENAY PKWY STE K",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534401",
            "telephone_number": "321-459-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N COURTENAY PKWY STE K",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534401",
            "telephone_number": "321-459-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBECK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "HERBECK",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-459-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbeck Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helping Hands of Brevard LLC
• Kathryn Henderson
• Tanishia Henderson
• Alicia Lynn Hendrix
• Louise Henrikson, COTA/L
• Alexis Herbeck, DMD
• Gary Emanuel Herbeck, D.M.D.
• Edgardo Antonio Hernandez Pons, M.D.
• Saidel Hernandez Vazquez
• Shane Christopher Hernesman, MD

• Dental Clinic/Center in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.