Active NPI
Eric Louis Herman, D.D.S.
- Dentist
- Vincennes, IN
National Provider Identifier
1821209024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010409A
- Practice address
- 706 S 15TH St
Vincennes, IN 47591-4317 - Phone
- (812) 882-1572
- Fax
- (812) 882-4450
- NPI assigned
- May 28, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12010409A | IN | Primary |
Addresses
Primary practice location
706 S 15TH St
Vincennes, IN 47591-4317
Mailing address
706 S 15TH St
Vincennes, IN 47591-4356
Phone (812) 882-1572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160502002179 | IN | Order and Referring Only - Dentist | 3072730803 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010409A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herman Family Dental,LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Vincennes, IN
- NPI 1154592681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1821209024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 S 15TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475914356",
"telephone_number": "812-882-1572",
"fax_number": "812-882-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 S 15TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475914317",
"telephone_number": "812-882-1572",
"fax_number": "812-882-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "ERIC",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-28",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010409A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.