Paul David Herrera, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7048 Issued in KS

Practice address

645 Country Club Ter
Lawrence, KS 66049-2450

Phone

(785) 331-0027

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1831179431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 COUNTRY CLUB TER",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492450",
            "telephone_number": "785-331-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 COUNTRY CLUB TER",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492450",
            "telephone_number": "785-331-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth E M Hernandez, LSCSW
• Loraine Herndon, LSCSW
• Emily Nicole Heronemus, DO
• Jonathan Mark Herrera-Thomas, LMSW
• David M. Herrera, D.C.
• Christina Herrin, PHARMD
• James Herrin
• Mark Andrew Herrmann, DC
• Catherine Elizabeth Herst, LPC
• Amy Hester, LSCSW

• General Practice Dentistry in Lawrence, KS
• Providers in Lawrence, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.