Organization Active NPI

Sierra Dental Inc

  • Dentist
  • Lauderdale by the Sea, FL
National Provider Identifier
1013331453
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12206 Issued in FL
Legal business name
SIERRA DENTAL INC
Practice address
4001 N Ocean Dr
Suite #202
Lauderdale by the Sea, FL 33308-5968
Phone
(954) 351-6980
Fax
(954) 351-7927
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Carlos L Sierra, DDSNPI 1306065875
Title
Owner
Phone
(954) 351-6980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN12206 FL Primary

Addresses

Primary practice location

4001 N Ocean Dr
Suite #202
Lauderdale by the Sea, FL 33308-5968

Mailing address

4001 N Ocean Dr
Suite 202
Lauderdale by the Sea, FL 33308-5968
Phone (954) 351-6980

National Provider Directory

National Provider Directory
Tax ID family
Sierra Dental Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4001 N Ocean Dr
Ste 202
Lauderdale by the Sea, FL 33308
Phone (954) 351-6980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1013331453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR",
            "address_2": "SUITE 202",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-351-6980",
            "fax_number": "954-351-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR",
            "address_2": "SUITE #202",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-351-6980",
            "fax_number": "954-351-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-351-6980",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.