Herzog Oaklawn PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

20239 Issued in TX

Legal business name

HERZOG OAKLAWN PLLC

Practice address

4020 Oaklawn
Dallas, TX 75219

Phone

(214) 978-0101

Fax

(214) 978-0121

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Ruth Drake, MANAGMENT

Title

Managment

Phone

(214) 978-0101

Specialties & licenses 5

Addresses

Other names 1

• FLOSS Dental Doing business as

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1194963728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 OAKLAWN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "214-978-0101",
            "fax_number": "214-978-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 OAKLAWN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "214-978-0101",
            "fax_number": "214-978-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZOG OAKLAWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "MANAGMENT",
        "authorized_official_telephone_number": "214-978-0101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGMENT"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20239",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26035",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28956",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOSS Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loren Hervey, LPC
• Larry D. Herwig VI
• Joachim Herz, MD
• Dana Herzi, RN
• Herzog Lakewood PC
• Herzog Preston Royal PLLC
• Herzog Uptown PLLC
• Clint F Herzog, D.D.S.
• Steven Paul Herzog, M.D.
• Taylor Mark Herzog, MD

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.