Individual provider Active NPI

Tania Herschdorfer, DDS

  • General Practice Dentistry
  • Miramar, FL
National Provider Identifier
1669994125
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22902 Issued in FL
Practice address
7160 Pembroke Rd
Miramar, FL 33023-2627
Phone
(954) 987-6977
NPI assigned
Jul 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22902 FL Primary

Addresses

Primary practice location

7160 Pembroke Rd
Miramar, FL 33023-2627

Mailing address

16450 Miami Dr Apt 104
North Miami Beach, FL 33162-4026
Phone (786) 262-1867

Other practice location 1

4757 S University Dr
Davie, FL 33328-3819
Phone (954) 434-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22902FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Davie Advanced Dentistry General Practice PastSince May 18, 2025 Accepting new patients
Premier Dental Center, P.a Past Accepting new patients
Claudia a Draizin DMD PA General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669994125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16450 MIAMI DR APT 104",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624026",
            "telephone_number": "786-262-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 PEMBROKE RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232627",
            "telephone_number": "954-987-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4757 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283819",
            "country_code": "US",
            "telephone_number": "954-434-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSCHDORFER",
        "first_name": "TANIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.