Herzog Coppell PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERZOG COPPELL PC

Practice address

143 S Denton Tap Rd
Suite 200
Coppell, TX 75019-3204

Phone

(469) 635-0100

Fax

(469) 635-0101

NPI assigned

Oct 16, 2012

Organization subpart

No

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

(469) 635-0100

Specialties & licenses 1

Addresses

Other names 1

• FLOSS Doing business as

Locations

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1861745853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 S DENTON TAP RD",
            "address_2": "SUITE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193204",
            "telephone_number": "469-635-0100",
            "fax_number": "469-635-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S DENTON TAP RD",
            "address_2": "SUITE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193204",
            "telephone_number": "469-635-0100",
            "fax_number": "469-635-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZOG COPPELL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "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": "469-635-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Coppell, TX
• Providers in Coppell, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.