Individual provider Active NPI

Ronald Terry Hersh Jr., D.M.D.

  • Prosthodontics
  • Bethlehem, PA
National Provider Identifier
1992986764
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS029665L Issued in PA
Practice address
3005 Brodhead Rd
Suite 180
Bethlehem, PA 18020-9201
Phone
(610) 865-4222
Fax
(610) 758-8777
NPI assigned
Nov 20, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS029665L PA Primary

Addresses

Primary practice location

3005 Brodhead Rd
Suite 180
Bethlehem, PA 18020-9201

Mailing address

3005 Brodhead Rd
Suite 180
Bethlehem, PA 18020-9201
Phone (610) 865-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160609000865 PA Order and Referring Only - DentistPractitioner - Dentist 9133419757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1992986764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 BRODHEAD RD",
            "address_2": "SUITE 180",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209201",
            "telephone_number": "610-865-4222",
            "fax_number": "610-758-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 BRODHEAD RD",
            "address_2": "SUITE 180",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209201",
            "telephone_number": "610-865-4222",
            "fax_number": "610-758-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "RONALD",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS029665L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.