Herzog Legacy PC

Primary specialty

DentistTaxonomy code 122300000X

License

20239 Issued in TX

Legal business name

HERZOG LEGACY PC

Doing business as

Floss

Practice address

5800 Legacy Dr Ste C8
Plano, TX 75024-7101

Phone

(469) 368-0101

Fax

(469) 368-0102

NPI assigned

Jun 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Clint Herzog, DDS

Title

Ceo/President

Phone

(214) 871-7100

Specialties & licenses 1

Addresses

Other names 1

• FLOSS Doing business as

Locations

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1578858163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LEGACY DR STE C8",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247101",
            "telephone_number": "469-368-0101",
            "fax_number": "469-368-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LEGACY DR STE C8",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247101",
            "telephone_number": "469-368-0101",
            "fax_number": "469-368-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZOG LEGACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "214-871-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Edward Herrera, M.D.
• Kerri Herrington
• Deanna Herrmann
• Richard F Herrscher, MD
• Aaron Herschberg
• Madison Herzog, LPC-A
• Ashlyn Hess
• Elaine Allison Hess, PH.D.
• Jessica Lee Hess, P.A.
• Gerayne Anne Hesseltine, PA-C

• Dentist in Plano, TX
• Providers in Plano, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.