Organization Active NPI

Amy Hertz, DMD and Minta Lopez-Torres, DMD

  • Dentist
  • Sanford, FL
National Provider Identifier
1053717322
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 16360 Issued in FL
Legal business name
AMY HERTZ, DMD AND MINTA LOPEZ-TORRES, DMD
Practice address
5030 West Sr 46, Suite 1018
Sanford, FL 32771
Phone
(407) 328-9492
NPI assigned
Nov 13, 2014
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Jamie Matherne
Title
Office Manager
Phone
(407) 328-9492

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 16360 FL Primary
Dentist 122300000X DN16478 FL

Addresses

Primary practice location

5030 West Sr 46, Suite 1018
Sanford, FL 32771

Mailing address

5030 Sr 46 Ste 1018
Sanford, FL 32771-9247
Phone (407) 328-9492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1053717322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 SR 46 STE 1018",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719247",
            "telephone_number": "407-328-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 WEST SR 46, SUITE 1018",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-328-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY HERTZ, DMD AND MINTA LOPEZ-TORRES, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MATHERNE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-328-9492"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 16360",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.