Organization Active NPI

Tatiana Santiago Herzog DDS PA

  • Dentist
  • Ft Lauderdale, FL
National Provider Identifier
1629315809
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18993 Issued in FL
Legal business name
TATIANA SANTIAGO HERZOG DDS PA
Practice address
3343 NE 33Rd St
Ft Lauderdale, FL 33308-7109
Phone
(954) 563-1362
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Tatiana Herzog, DDS
Title
Owner
Phone
(305) 409-5392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN18993 FL Primary

Addresses

Primary practice location

3343 NE 33Rd St
Ft Lauderdale, FL 33308-7109

Mailing address

3343 NE 33Rd St
Ft Lauderdale, FL 33308-7109
Phone (954) 563-1362

National Provider Directory

National Provider Directory

Locations

3343 NE 33rd St
Ft Lauderdale, FL 33308
Phone (954) 563-1362

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1629315809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 NE 33RD ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087109",
            "telephone_number": "954-563-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 NE 33RD ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087109",
            "telephone_number": "954-563-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA SANTIAGO HERZOG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-409-5392",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.