Icom Sunrise LLC
Icom Sunrise LLC is a healthcare organization registered as Dentist in Sunrise, FL, holding Type 2 (organization) NPI 1093585853 since 2024. The authorized official on file is Tatiana Santiago Herzog, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093585853 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Icom Sunrise LLC |
| Practice address | 12651 W SUNRISE BLVD, Sunrise, FL, 33323 |
| Phone | 9543562721 |
| Fax | 7862214442 |
| Enumeration date | 2024-01-03 |
| Last updated in NPPES | 2024-01-03 |
Authorized official
| Name | Tatiana Santiago Herzog |
|---|---|
| Title | Dentist |
| Phone | 9543562721 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Icom Sunrise LLC NPI: 1093585853 Taxonomy: 122300000X (Dentist) Address: 12651 W SUNRISE BLVD, Sunrise, FL, 33323
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710967856 | Donna Dileo | Individual | Advanced Practice Midwife | Sunrise, FL |
| 1861472912 | Marla Solomon | Individual | Advanced Practice Midwife | Sunrise, FL |
| 1912960816 | Michelle Parlo | Individual | Physician Assistant | Sunrise, FL |
| 1124109806 | Gray Fenton | Individual | Family Medicine Physician | Sunrise, FL |
| 1922165174 | All Womens Healthcare of Sunrise Inc | Organization | Advanced Practice Midwife | Sunrise, FL |
| 1780718411 | Damone Smith | Individual | Oral and Maxillofacial Surgery (Dentist) | Sunrise, FL |
| 1598960304 | All Womens Healthcare of West Broward Inc | Organization | Obstetrics & Gynecology Physician | Sunrise, FL |
| 1235309857 | Terrero Medical Center LLC | Organization | Internal Medicine Physician | Sunrise, FL |
Verify this record
Cross-check NPI 1093585853 against the authoritative CMS record: view Icom Sunrise LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Icom Sunrise LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-03.