Micah Daniel Himmerich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1247 Issued in WY

Practice address

100 Canyon Road
Diamondville, WY 83116

Phone

(307) 877-6951

NPI assigned

Aug 5, 2010

Sex

Male

Sole proprietor

Yes

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.

• Kemmerer Dental Inc

  • General Practice Dentistry
  • Diamondville, WY
  • NPI 1902946932

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2010.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1790099489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CANYON ROAD",
            "address_2": "PO BOX 314",
            "city": "DIAMONDVILLE",
            "state": "WY",
            "postal_code": "83116",
            "telephone_number": "307-877-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANYON ROAD",
            "city": "DIAMONDVILLE",
            "state": "WY",
            "postal_code": "83116",
            "telephone_number": "307-877-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMERICH",
        "first_name": "MICAH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Bella, ARNP FNP-C
• Karen Alane Cheek, DDS
• Dallas Layne Clark, P.T.
• Kemmerer Dental Inc
• Pro Physical Therapy LLC

• All providers in Diamondville, WY
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.