NPIMap

Organization Active NPI

Dunedin Pediatrics LLC

  • Pediatrics Physician
  • Dunedin, FL
National Provider Identifier
1457761603
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DUNEDIN PEDIATRICS LLC
Practice address
424 Douglas Ave
Dunedin, FL 34698-7602
Phone
(210) 913-4881
NPI assigned
Apr 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Vivian Marie Herrero, MD
Title
Owner/Physician
Phone
(727) 734-7337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

424 Douglas Ave
Dunedin, FL 34698-7602

Mailing address

424 Douglas Ave
Dunedin, FL 34698-7602
Phone (727) 734-7337

National Provider Directory

National Provider Directory

Locations

424 Douglas Ave
Dunedin, FL 34698
Phone (727) 734-1901

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22512/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1457761603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 DOUGLAS AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987602",
            "telephone_number": "727-734-7337",
            "fax_number": "727-216-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 DOUGLAS AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987602",
            "telephone_number": "210-913-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNEDIN PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "HERRERO",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "727-734-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.