Mariela Siehoff, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7237-15 Issued in WI

Practice address

10202 W Hayes Ave
West Allis, WI 53227-2042

Phone

(414) 321-2720

Fax

(414) 321-7718

NPI assigned

May 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1033520770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 W HAYES AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272042",
            "telephone_number": "414-321-2720",
            "fax_number": "414-321-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 W HAYES AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272042",
            "telephone_number": "414-321-2720",
            "fax_number": "414-321-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEHOFF",
        "first_name": "MARIELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7237-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Home Healthcare LLC
• Russell Mark Sherbondy, DC
• Paul Shinkle, LAC, MSOM
• Kirstin Shuda, RPH
• Carl Joseph Sibilski Jr., D.D.S.
• Lisa A Sienkiewicz, M.D.
• Andrew John Sievila, RN, PMHCNS-BC, APNP
• Alicia Grace Sikorski
• Kirsten J Simanonok, MD
• Joy Simmons, M.S., CCC-SLP

• General Practice Dentistry in West Allis, WI
• Providers in West Allis, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.