Organization Active NPI

Herzog Lakewood PC

Doing business as Floss

  • Dentist
  • Dallas, TX
National Provider Identifier
1619217908
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HERZOG LAKEWOOD PC
Doing business as
Floss
Practice address
1920 Abrams Pkwy
Dallas, TX 75214-6218
Phone
(214) 389-0100
Fax
(214) 389-0101
NPI assigned
Feb 22, 2013
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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) 389-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1920 Abrams Pkwy
Dallas, TX 75214-6218

Mailing address

1920 Abrams Pkwy
Dallas, TX 75214-6218
Phone (214) 389-0100

Other names 1

  • FLOSS Doing business as

National Provider Directory

National Provider Directory

Locations

1920 Abrams Pkwy
Dallas, TX 75214
Phone (214) 389-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": "1619217908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 ABRAMS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146218",
            "telephone_number": "214-389-0100",
            "fax_number": "214-389-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 ABRAMS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146218",
            "telephone_number": "214-389-0100",
            "fax_number": "214-389-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZOG LAKEWOOD 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": "214-389-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • 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.