Active NPI
Tara Siegel
- Dentist
- Hillsboro Beach, FL
National Provider Identifier
1487882379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18723
- Practice address
- 1194 Hillsboro Mile
Apt 56
Hillsboro Beach, FL 33062-1531 - Phone
- (561) 252-8203
- NPI assigned
- Jun 30, 2009
- Last updated
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18723 | FL | Primary |
Addresses
Primary practice location
1194 Hillsboro Mile
Apt 56
Hillsboro Beach, FL 33062-1531
Mailing address
29777 Telegraph Rd
Ste 3000
Southfield, MI 48034-7634
Phone (248) 430-4358
Other names 1
- Tar Hoffman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18723 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1487882379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29777 TELEGRAPH RD",
"address_2": "STE 3000",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347634",
"telephone_number": "248-430-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 HILLSBORO MILE",
"address_2": "APT 56",
"city": "HILLSBORO BEACH",
"state": "FL",
"postal_code": "330621531",
"telephone_number": "561-252-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "18723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAR",
"last_name": "HOFFMAN",
"credential": "DMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hillsboro Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.