Individual provider Active NPI

Tara Siegel

  • Dentist
  • Hillsboro Beach, FL
National Provider Identifier
1487882379
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18723 Issued in FL
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
18723FLMDDentist

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.

Verify at the official NPI Registry.