Mary Kathleen Herman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025602 Issued in OH

Practice address

8111 Cheviot Rd Ste 102
Cincinnati, OH 45247

Phone

(513) 741-7779

NPI assigned

Apr 9, 2017

Last updated

Nov 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mary Kathleen Graham Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Kate Herman, DMD, PLLC

  • General Practice Dentistry
  • Fort Thomas, KY
  • NPI 1982574703
  NPD Authorized official
• Pinnacle One Dental Group

  dba Cincinnati Dental Services White Oak

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1730106253
  NPD

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1942733704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 CHEVIOT RD STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452474013",
            "telephone_number": "513-741-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 CHEVIOT RD STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-741-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2161 N Bend Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "KY",
            "postal_code": "41048",
            "country_code": "US",
            "telephone_number": "859-689-1105",
            "fax_number": "859-689-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10167",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GRAHAM",
            "middle_name": "KATHLEEN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Collin Michael Herman, MD
• Helena S Herman, MD
• Holly Celeste Herman, MD
• Kati Herman
• Lynn M Herman, CRNA
• Patricia Lynn Herman, PH.D.
• Roger W Herman, M.D
• Laura Katherine Hermann
• Rachael Clare Hermann, NP
• Ian J Hermanns, LMT

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.