Hergenrader Dental Rehab PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERGENRADER DENTAL REHAB PC

Practice address

3102 East Elk Lane
Fremont, NE 68025

Phone

(315) 454-6000

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Alan Hergenrader

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1891298196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 EAST ELK LANE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "315-454-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERGENRADER DENTAL REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "HERGENRADER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Louise Heinz Larsen
• Danielle Helton, DPT
• Keith Micheal Hemphill
• Nicole Hendrickson, PTA
• Nicole Henkel
• Laura Ann Herring, APRN, NP-C
• Heather Lynn Hess, ATC
• Shannon Jo Hetzler
• Amada Hime
• Jeffrey A Himmelberg, MD

• General Practice Dentistry in Fremont, NE
• Providers in Fremont, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.