Clarice Ione Hermunslie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9831 Issued in MN

Practice address

8559 Edinbrook Pkwy
Brooklyn Park, MN 55443-3747

Phone

(763) 425-3644

Fax

(763) 425-0953

NPI assigned

Dec 6, 2006

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 names 1

• Clarice Shusterich Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851450837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 57TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421659",
            "telephone_number": "763-553-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8559 EDINBROOK PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433747",
            "telephone_number": "763-425-3644",
            "fax_number": "763-425-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMUNSLIE",
        "first_name": "CLARICE",
        "middle_name": "IONE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARICE",
            "last_name": "SHUSTERICH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kom Her
• Miakhang Her
• Pang Tang Her
• Brooke Herbert
• Adam Hermes
• Kristen Emily Herscher, NP
• Nafiso Hersi
• Heu Chiropractic Spa, P. a.
• Saul Chue Sao Heu, D.C.
• Dean D Heuer, D.D.S.

• General Practice Dentistry in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.