Tatiana Santiago Herzog, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN18993 Issued in FL

Practice address

1160 Kane Concourse Ste 203
Bay Harbor Islands, FL 33154-2020

Phone

(305) 560-5859

Fax

(786) 221-4442

NPI assigned

Feb 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Icom Bay Harbor LLC

  • Dentist
  • Bay Harbor Islands, FL
  • NPI 1528838372
  NPD Authorized official

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1396041703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NE 13TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041109",
            "telephone_number": "305-409-5392",
            "fax_number": "786-221-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 KANE CONCOURSE STE 203",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542020",
            "telephone_number": "305-560-5859",
            "fax_number": "786-221-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO HERZOG",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronny Aquinin MD PA
• Naomi Ruza, LM, CPM
• Gabriel Saavedra
• Ramsey Habeeb Saffouri, D.O.
• Michael Salzhauer, M.D.
• Milica Saper, M.D.
• Geoffrey Louis Sas
• Nancy J Scheinman, PH.D.
• Mordechai Segall, RBT
• Claudia Serra

• Dentist in Bay Harbor Islands, FL
• Providers in Bay Harbor Islands, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.