Individual provider Active NPI

Allen Joel Herron, DMD

  • Dentist
  • Cherry Hill, NJ
National Provider Identifier
1932195237
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS023761L Issued in PA
Practice address
235 Society Hill Blvd
Cherry Hill, NJ 08003-2405
Phone
(609) 636-7060
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS023761L PA Primary

Addresses

Primary practice location

235 Society Hill Blvd
Cherry Hill, NJ 08003-2405

Mailing address

235 Society Hill Blvd
Cherry Hill, NJ 08003-2405
Phone (609) 636-7060

Other practice location 1

992 Mantua Pike
Suite 202
Woodbury Heights, NJ 08097-1246
Phone (856) 853-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS023761LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1932195237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SOCIETY HILL BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032405",
            "telephone_number": "609-636-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SOCIETY HILL BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032405",
            "telephone_number": "609-636-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "992 Mantua Pike",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Woodbury Heights",
            "state": "NJ",
            "postal_code": "080971246",
            "country_code": "US",
            "telephone_number": "856-853-7900",
            "fax_number": "856-853-7938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "ALLEN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023761L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.