Herzog San Antonio PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HERZOG SAN ANTONIO PC

Doing business as

Floss

Practice address

19903 Stone Oak Pkwy
Building 1 Suite 103
San Antonio, TX 78258-6953

Phone

(210) 293-0101

Fax

(210) 293-0102

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Clinton Finch Herzog, DDS

Title

Owner

Phone

(214) 218-1666

Specialties & licenses 1

Addresses

Other names 1

• FLOSS Doing business as

Locations

Practitioners 1

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

• Alexandra Forney Schoenholtz, D.D.S.

  • Dentist
  • San Antonio, TX
  • NPI 1891040929
  NPD (past)

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1518207802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19903 STONE OAK PKWY",
            "address_2": "BUILDING 1 SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586953",
            "telephone_number": "210-293-0101",
            "fax_number": "210-293-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19903 STONE OAK PKWY",
            "address_2": "BUILDING 1 SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586953",
            "telephone_number": "210-293-0101",
            "fax_number": "210-293-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZOG SAN ANTONIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "FINCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-218-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diem CHI Herscovici, O.D.
• Daren Harold Hersh, M.D.
• Lisa Jones Hersom, RN
• Brandon Hertzog
• Michael Anthony Herzik, M.D.
• Cameron Herzog
• Hesed Counseling PC
• Edsel Lumbis Hesita, M.D.
• Marifi Mapa Hesita, FNP
• Erika Hess, PA-C

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.