Dr Herdocia Inc

Primary specialty

DentistTaxonomy code 122300000X

License

DN11609 Issued in FL

Legal business name

DR HERDOCIA INC

Doing business as

New Oceanside Dental

Practice address

2510 W Virginia Ave
Tampa, FL 33607-6326

Phone

(813) 998-0000

NPI assigned

Aug 13, 2014

Last updated

Aug 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Filiberto Herdocia, DDS

Title

President

Phone

(813) 998-0000

Specialties & licenses 1

Addresses

Other names 1

• NEW OCEANSIDE DENTAL Doing business as

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1801205091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076326",
            "telephone_number": "813-998-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076326",
            "telephone_number": "813-998-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HERDOCIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "HERDOCIA",
        "authorized_official_first_name": "FILIBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-998-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW OCEANSIDE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.