JACK L HERTZBERG DMD
NPI 1336121508
Dentist - Orthodontics and Dentofacial Orthopedics in Needham, MA

Active since November 15, 2005PECOS Enrolled
87 CHESTNUT ST, NEEDHAM, MA 02492(781) 444-6650(781) 444-3607 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack L Hertzberg Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK L HERTZBERG DMD (NPI 1336121508) is an individual orthodontics and dentofacial orthopedics provider in Needham, Massachusetts, licensed in Massachusetts (12867) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336121508
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJACK L HERTZBERGCredential: DMD
Location Address87 CHESTNUT STNeedham, MA 02492-2578
Mailing Address87 Chestnut StNeedham, MA 02492-2578 · (781) 444-6650 · Fax (781) 444-3607
Fax(781) 444-3607
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1336121508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MA · 12867
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
87 CHESTNUT ST, Needham, MA 02492

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jack L Hertzberg Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02492 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
87 CHESTNUT ST, #1
NEEDHAM, MA 02492
Dentist (General Practice)
87 CHESTNUT ST
NEEDHAM, MA 02492
Dentist (General Practice)
87 CHESTNUT ST
NEEDHAM, MA 02492
Family Medicine
87 CHESTNUT ST
NEEDHAM, MA 02492
Dentist (General Practice)
87 CHESTNUT ST
NEEDHAM, MA 02492
Urology
87 CHESTNUT ST, 3RD FLOOR
NEEDHAM, MA 02492
Dentist (Pediatric Dentistry)
87 CHESTNUT ST
NEEDHAM, MA 02492
Family Medicine
87 CHESTNUT ST
NEEDHAM, MA 02492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hertzberg's NPI number?

The NPI number for Jack Hertzberg is 1336121508. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Jack Hertzberg located?

Jack Hertzberg practices at 87 Chestnut St, Needham, MA 02492. The listed phone number is (781) 444-6650.

What is Jack Hertzberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Jack Hertzberg enrolled in Medicare?

Yes. Jack Hertzberg is registered in the Medicare PECOS enrollment system.

What insurance does Jack Hertzberg accept?

Health plans from Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jack Hertzberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Hertzberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.