Herron Family Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HERRON FAMILY DENTAL INC

Practice address

7203 S Western Ave
Chicago, IL 60636-3653

Phone

(773) 476-5335

NPI assigned

Apr 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Devere Herron, DDSNPI 1083826507

Title

Owner

Phone

(773) 476-5335

Specialties & licenses 1

Addresses

Other names 2

• Herron Family Dental Inc Doing business as
• Devere Herron Other name

Locations

Practitioners 1

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

• Devere J Herron, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1083826507
  NPD Authorized official

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1821786831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606363653",
            "telephone_number": "773-329-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606363653",
            "telephone_number": "773-476-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRON FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "DEVERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-476-5335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herron Family Dental Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Devere Herron",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David J Herrmann, DDS
• Lana Lee Herrmann, MD
• Lester Joseph Herro Jr., OD
• Abigail Herrold
• Joseph Alden Herrold, MD, MPH
• Herron Medical Services, S.C.
• Burnetta Herron, M.D.
• Denise Herron
• Devere J Herron, D.D.S.
• James R Herron, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.