Jerome Villapa Sy-Siong

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63024 Issued in CA

Practice address

1111 E Tulare Ave
Tulare, CA 93274-4561

Phone

(909) 647-5628

NPI assigned

Oct 24, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: jerome.sysiong.p1@direct.altura.nextgenshare.com
• Direct secure messaging: jsy.siong@direct.westerndental.com

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1134557499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28891 GLENHEATHER DR",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465360",
            "telephone_number": "909-647-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E TULARE AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744561",
            "telephone_number": "909-647-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY-SIONG",
        "first_name": "JEROME",
        "middle_name": "VILLAPA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundale Union Elementary School District
• Victor Isip Sunga, M.D.
• Karen Sutherland, LVN
• Madelyn Sweepe
• Hanan Sweis, MA
• Mujtaba Syed
• Yesenia Talavera Alonso
• Nowrin Tamanna
• Norma Lisa Tamez, CASE MANAGER
• Melinda La Dawn Tandy

• General Practice Dentistry in Tulare, CA
• Providers in Tulare, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.