Organization Active NPI

Herzog Cinco Ranch PC

  • Dentist
  • Katy, TX
National Provider Identifier
1609200773
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HERZOG CINCO RANCH PC
Practice address
9727 Spring Green Blvd
#200
Katy, TX 77494
Phone
(832) 589-0671
Fax
(832) 589-0677
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Clinton F Herzog, DDS
Title
Owner
Phone
(832) 589-0671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9727 Spring Green Blvd
#200
Katy, TX 77494

Mailing address

9727 Spring Green Blvd
#200
Katy, TX 77494
Phone (832) 589-0671

Other names 1

  • FLOSS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1609200773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 SPRING GREEN BLVD",
            "address_2": "#200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "832-589-0671",
            "fax_number": "832-589-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 SPRING GREEN BLVD",
            "address_2": "#200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "832-589-0671",
            "fax_number": "832-589-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZOG CINCO RANCH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-589-0671",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.