Individual provider Active NPI

Gregory Herzberg, DDS

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1871882415
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10683 Issued in CO
Practice address
7631 Shaffer Pkwy
Suite B
Littleton, CO 80127-3011
Phone
(303) 973-5280
Fax
(303) 973-7996
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10683 CO Primary

Addresses

Primary practice location

7631 Shaffer Pkwy
Suite B
Littleton, CO 80127-3011

Mailing address

7631 Shaffer Pkwy
Suite B
Littleton, CO 80127-3011
Phone (303) 973-5280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20230404002564 CO Order and Referring Only - DentistPractitioner - Dentist 7214302298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10683COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1871882415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 SHAFFER PKWY",
            "address_2": "SUITE B",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273011",
            "telephone_number": "303-973-5280",
            "fax_number": "303-973-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 SHAFFER PKWY",
            "address_2": "SUITE B",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273011",
            "telephone_number": "303-973-5280",
            "fax_number": "303-973-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBERG",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.