Active NPI
Kimberly Justine Herrmann, RDH
- Dental Hygienist
- Biloxi, MS
National Provider Identifier
1932335635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2152-86DH
- Practice address
- 2574 Marcia CT
Biloxi, MS 39531-2341 - Phone
- (228) 388-9545
- Fax
- (228) 385-1161
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2152-86DH | MS | Primary |
Addresses
Primary practice location
2574 Marcia CT
Biloxi, MS 39531-2341
Mailing address
50 52ND St
Gulfport, MS 39507-4519
Phone (228) 365-4488
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2152-86DH | MS | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1932335635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 52ND ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395074519",
"telephone_number": "228-365-4488",
"fax_number": "866-905-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2574 MARCIA CT",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312341",
"telephone_number": "228-388-9545",
"fax_number": "228-385-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMANN",
"first_name": "KIMBERLY",
"middle_name": "JUSTINE",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MS",
"license": "2152-86DH",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.