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DR. BRANDI HERRON
NPI 1922684844
Dentist - Periodontics in Lafayette, IN

Active since March 22, 2021Opted out of Medicare · through Oct 16, 2027
415 N 26TH ST STE 303, LAFAYETTE, IN 47904(654) 479-3197 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2023, Mar 22, 2021 (2 updates tracked since 2021).

About Dr. Brandi Herron NPPES

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

DR. BRANDI HERRON (NPI 1922684844) is an individual periodontics provider in Lafayette, Indiana, licensed in Indiana (12013395A) and active in the NPI registry since March 2021. She has opted out of Medicare through October 16, 2027.

NPPES Registry Identity

NPI1922684844
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRANDI HERRON
Location Address415 N 26TH ST STE 303Lafayette, IN 47904-2893
Mailing Address415 N 26th St Ste 303Lafayette, IN 47904-2893 · (765) 447-9319 · Fax (765) 447-7227
Phone(654) 479-3197
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1922684844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IN · 12013395A
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
415 N 26TH ST STE 303, Lafayette, IN 47904
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brandi Herron has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 16, 2023 through October 16, 2027.

Opt-Out Effective DateOctober 16, 2023
Opt-Out In Effect ThroughOctober 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

MARIANA MAMBRINI SOLDATELLI DDS
Dentist (Prosthodontics)
415 N 26TH ST STE 303
LAFAYETTE, IN 47904
Tippecanoe County (765) 447-9319
DR. CAROLINE HENDERZAHS DDS, MSD
Dentist (Periodontics)
415 N 26TH ST STE 303
LAFAYETTE, IN 47904
Tippecanoe County (765) 447-9319
SOMETHING COOL LLC
Dentist (Periodontics)
415 N 26TH ST STE 303
LAFAYETTE, IN 47904
Tippecanoe County (765) 447-9319

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 Brandi Herron's NPI number?

The NPI number for Brandi Herron is 1922684844. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Brandi Herron located?

Brandi Herron practices at 415 N 26th St Ste 303, Lafayette, IN 47904. The listed phone number is (654) 479-3197.

What is Brandi Herron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Brandi Herron enrolled in Medicare?

No. Brandi Herron has opted out of Medicare through October 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brandi Herron was last updated on September 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.