Organization Active NPI

Herndon DDS Inc

Doing business as Pacific Sleep Apnea Center

  • General Practice Dentistry
  • Saratoga, CA
National Provider Identifier
1881422863
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HERNDON DDS INC
Doing business as
Pacific Sleep Apnea Center
Practice address
14375 Saratoga Ave Ste 100
Saratoga, CA 95070-5978
Phone
(408) 867-3712
Fax
(408) 867-2653
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Dr. Julie Herndon, DDSNPI 1700025715
Title
President
Phone
(408) 867-3712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

14375 Saratoga Ave Ste 100
Saratoga, CA 95070-5978

Mailing address

14375 Saratoga Ave Ste 100
Saratoga, CA 95070-5978
Phone (408) 867-3712

Other names 1

  • Pacific Sleep Apnea Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241028001218 CA DME Supplier - Oral Surgery - Dentist 1951834100 Practice locations: Saratoga, CA

National Provider Directory

National Provider Directory

Locations

14375 Saratoga Ave
Ste 100
Saratoga, CA 95070
Phone (408) 867-3711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1881422863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14375 SARATOGA AVE STE 100",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705978",
            "telephone_number": "408-867-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14375 SARATOGA AVE STE 100",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705978",
            "telephone_number": "408-867-3712",
            "fax_number": "408-867-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-867-3712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Sleep Apnea Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Sleep Apnea Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.