Individual provider Active NPI

Dasirae Danielle Sieh, DDS

  • Dentist
  • Memphis, TN
National Provider Identifier
1114545969
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7625 Issued in NE
Practice address
875 Union Avenue
Memphis, TN 38163-9375
Phone
(901) 448-5500
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7625 NE Primary

Addresses

Primary practice location

875 Union Avenue
Memphis, TN 38163-9375

Mailing address

875 Union Avenue
Memphis, TN 38163-3047
Phone (901) 448-5500

Other identifiers 1

IdentifierTypeStateIssuer
7625OtherNESTATE OF NEBRASKA - DHHS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dasirae.sieh@unmc.edu
CONNECT URL Memphis

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7625NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc College of Dentistry Dentist PastSince Jul 1, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1114545969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 UNION AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381633047",
            "telephone_number": "901-448-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381639375",
            "telephone_number": "901-448-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEH",
        "first_name": "DASIRAE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA - DHHS",
            "identifier": "7625",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dasirae.sieh@unmc.edu",
            "affiliation": "N",
            "address_1": "989375 Nebraska Medical Ctr Fl Center3",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681989375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "address_1": "875 Union Avenue",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381639375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.