Philip Clifton Shiere Jr., DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3490 Issued in PR

Practice address

50 Ave Luis Munoz Marin Ste 308
Caguas, PR 00725-3982

Phone

(603) 817-1624

NPI assigned

Jun 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Practice roles

Locations

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.

• Endodontic Associates of Puerto Rico LLC

  • Endodontics
  • Caguas, PR
  • NPI 1831980333
  NPD Authorized official
• New England Endodontics PC

  • Endodontics
  • Manchester, CT
  • NPI 1407572605
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1104356450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CALLE LIMONERO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009714011",
            "telephone_number": "939-323-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN STE 308",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253982",
            "telephone_number": "603-817-1624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Ave Fd Roosevelt Ste 307",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009182162",
            "country_code": "US",
            "telephone_number": "787-250-0907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Tolland Tpke Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060421770",
            "country_code": "US",
            "telephone_number": "860-775-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Dwight Rd",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011061889",
            "country_code": "US",
            "telephone_number": "413-565-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIERE",
        "first_name": "PHILIP",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN1857981",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "13547",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "3490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Serrano, MD
• Servicios de Medicina Integrada P.S.C.
• Servicios de Salud Y Medicos Integrales
• Servicios Medicos PR, LLC
• Servicios Psiquiatricos Rodriguez Torres
• Shine Family Chiropractic LLC
• Rafael Jose Siaca Meza, MD
• Jose Alberto Sierra Miranda, MD
• Leinad Sierra
• Karen Silva, M.D.

• Endodontics in Caguas, PR
• Providers in Caguas, PR by specialty
• Endodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.