Jody Herschenhorn-Dominick, DDS
NPI 1770669939 · General Practice Dentistry · Sacaton, AZ
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jody Herschenhorn-Dominick, DDS is a General Practice Dentistry provider in Sacaton, AZ (NPI 1770669939).
Provider details
- NPI number
- 1770669939
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 5247 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2012-03-08
Frequently asked questions
- What is Jody Herschenhorn-Dominick's NPI number?
- Jody Herschenhorn-Dominick's National Provider Identifier (NPI) is 1770669939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jody Herschenhorn-Dominick's specialty?
- Jody Herschenhorn-Dominick is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jody Herschenhorn-Dominick located?
- Jody Herschenhorn-Dominick's practice location on file with NPPES is 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038.
- What is Jody Herschenhorn-Dominick's phone number?
- The practice phone number listed in the NPPES registry for Jody Herschenhorn-Dominick is (602) 528-1200.
- Does Jody Herschenhorn-Dominick accept Medicare?
- Jody Herschenhorn-Dominick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jody Herschenhorn-Dominick's NPI active?
- Yes — Jody Herschenhorn-Dominick's NPI (1770669939) is active in the NPPES registry as of the last update on 2012-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.