Active NPI
Rebecca Herzog
- Dental Hygienist
- Fort Knox, KY
National Provider Identifier
1790218709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1820
- Practice address
- 398 192ND Armor Tank Battalion Rd
BLDG 1022 Room 231
Fort Knox, KY 40121-5116 - Phone
- (502) 624-6158
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1820 | KY | Primary |
Addresses
Primary practice location
398 192ND Armor Tank Battalion Rd
BLDG 1022 Room 231
Fort Knox, KY 40121-5116
Mailing address
398 192ND Armor Tank Battalion Rd
BLDG 1022 Room 231
Fort Knox, KY 40121-5116
Phone (502) 624-6158
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1790218709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 192ND ARMOR TANK BATTALION RD",
"address_2": "BLDG 1022 ROOM 231",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215116",
"telephone_number": "502-624-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 192ND ARMOR TANK BATTALION RD",
"address_2": "BLDG 1022 ROOM 231",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215116",
"telephone_number": "502-624-6158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZOG",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "KY",
"license": "1820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Knox, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.