Active NPI
Dasirae Danielle Sieh, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1114545969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7625
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7625 | Other | NE | STATE OF NEBRASKA - DHHS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7625 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc College of Dentistry | 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
- Omaha, NE
- NPI 1528149580
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.