Active NPI
Jose D Herrera
- Vehicle Modifications Contractor
- Fairfax, VA
National Provider Identifier
1962855916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- Practice address
- 3158 Cedar Grove Dr
Fairfax, VA 22031-1708 - Phone
- (703) 899-9918
- Fax
- (703) 281-3203
- NPI assigned
- Jul 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vehicle Modifications Contractor | 171WV0202X | Primary |
Addresses
Primary practice location
3158 Cedar Grove Dr
Fairfax, VA 22031-1708
Mailing address
3158 Cedar Grove Dr
Fairfax, VA 22031-1708
Phone (703) 899-9918
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rojhalex Enterpriser LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Fairfax, VA
- NPI 1063934545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1962855916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3158 CEDAR GROVE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311708",
"telephone_number": "703-899-9918",
"fax_number": "703-281-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3158 CEDAR GROVE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311708",
"telephone_number": "703-899-9918",
"fax_number": "703-281-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "JOSE",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-14",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.