Individual provider Active NPI

Gregory John Herbich, M.D.

  • Dermatology Physician
  • Honolulu, HI
National Provider Identifier
1780800987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD5429 Issued in HI
Practice address
1001 Bishop St
Suite 390
Honolulu, HI 96813-3429
Phone
(808) 538-0123
Fax
(808) 521-4755
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD5429 HI Primary

Addresses

Primary practice location

1001 Bishop St
Suite 390
Honolulu, HI 96813-3429

Mailing address

1001 Bishop St
Suite 390
Honolulu, HI 96813-3429
Phone (808) 538-0123

Other identifiers 1

IdentifierTypeStateIssuer
02032701MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD5429HIMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780800987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST",
            "address_2": "SUITE 390",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133429",
            "telephone_number": "808-538-0123",
            "fax_number": "808-521-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST",
            "address_2": "SUITE 390",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133429",
            "telephone_number": "808-538-0123",
            "fax_number": "808-521-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBICH",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "MD5429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02032701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.