Carrie A Herrild, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6302-15 Issued in WI

Practice address

1270 W. Main St.
Sun Prairie, WI 53590-1930

Phone

(608) 443-5482

Fax

(608) 837-9134

NPI assigned

Aug 29, 2008

Last updated

Oct 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1841448156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W. BELTLINE HWY.",
            "address_2": "SUITE 120",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134226",
            "telephone_number": "608-443-5500",
            "fax_number": "608-441-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 W. MAIN ST.",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901930",
            "telephone_number": "608-443-5482",
            "fax_number": "608-837-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRILD",
        "first_name": "CARRIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6302-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33829800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33815700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Jane Hecht, MSSW LCSW
• Collin Heller, APSW
• Annie Laura Henderson, APNP
• Jennifer Marie Hendrickson, LPC, SAC
• Jodie Henning
• Chad J. Hess, PA
• Bailey Elizabeth Higby, NP
• Peter Hill
• Julia H Hobbins, DC
• Kasheena S Hollis, DMD

• Dentist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.

Verify at the official NPI Registry.