Active NPI
Dylan Thomas Herrera
- Case Manager/Care Coordinator
- Grand Rapids, MI
National Provider Identifier
1811806102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4065 E Hills CT SE
Grand Rapids, MI 49546-6299 - Phone
- (248) 475-6400
- Fax
- (248) 475-6403
- NPI assigned
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4065 E Hills CT SE
Grand Rapids, MI 49546-6299
Mailing address
4065 E Hills CT SE
Grand Rapids, MI 49546-6299
Phone (248) 475-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1811806102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4065 E HILLS CT SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466299",
"telephone_number": "248-475-6400",
"fax_number": "248-475-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4065 E HILLS CT SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466299",
"telephone_number": "248-475-6400",
"fax_number": "248-475-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "DYLAN",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.