Active NPI
Tarek Sirage, D.M.D.
- Dentist
- Cedar Park, TX
National Provider Identifier
1073963880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33667
- Practice address
- 12160 W Parmer LN Ste 110
Cedar Park, TX 78613-2490 - Phone
- (512) 866-3184
- NPI assigned
- Jun 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33667 | TX | Primary |
Addresses
Primary practice location
12160 W Parmer LN Ste 110
Cedar Park, TX 78613-2490
Mailing address
12160 W Parmer LN Ste 110
Cedar Park, TX 78613-2490
Phone (512) 866-3184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33667 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SPM Dental Group and Orthodontics, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Austin, TX
- NPI 1518306042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1073963880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12160 W PARMER LN STE 110",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132490",
"telephone_number": "512-866-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12160 W PARMER LN STE 110",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132490",
"telephone_number": "512-866-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRAGE",
"first_name": "TAREK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-13",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.