John Frederick Herschleb, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25903 Issued in CA

Practice address

1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427

Phone

(415) 456-5402

Fax

(415) 456-9275

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1972683324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041427",
            "telephone_number": "415-456-5402",
            "fax_number": "415-456-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041427",
            "telephone_number": "415-456-5402",
            "fax_number": "415-456-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHLEB",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Hughes Haugen, PH.D.
• Sheryl B. Hausman, PH.D.
• Herbert S. Kaufman, M.D., Medical Corporation
• Jessica Herbold, PH.D.
• Kane Rene Hernandez
• Bonnie Louise Hoag, M.F.T.
• Audrey Elizabeth Hoffman, OTD, OTR/L, COMT-UL
• Kyndra M Holloway
• Gretchen Hoskins, MFT
• Courtenay Irene Houk, MA, LMFT

• General Practice Dentistry in Kentfield, CA
• Providers in Kentfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.