Gregory Stephen Sikora, D.M.D., M.B.A.

Primary specialty

DentistTaxonomy code 122300000X

License

D7680 Issued in AZ

Practice address

State Hwy 264
Mile Marker 388
Polacca, AZ 86042

Phone

(928) 737-6165

NPI assigned

Nov 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anthony Charles Caputo DDS PC

  dba Southwest Dental Anesthesia Services

  • Dentist
  • Tucson, AZ
  • NPI 1912079260
  NPD (past)

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1164676235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E GUADALUPE RD",
            "address_2": "UNIT 139",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344588",
            "telephone_number": "602-849-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE HWY 264",
            "address_2": "MILE MARKER 388",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "86042",
            "telephone_number": "928-737-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "GREGORY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-15",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7680",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "AZ",
            "license": "D7680 13011379-M",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia M Segers, PHARMD, RPH
• Donna Marie Selina, CMA
• Zina Shadfar
• Karla Shearer
• Della Mae Sieweyumptewa, CNA
• Brittany Marie Sinanan, PHARMD
• Erica Yvonne Smith, R.D.
• Rochelle Snyder, RN
• Karen Lynn Stokes, RN
• Stacy Talahytewa II, RT(R)

• Dentist in Polacca, AZ
• Providers in Polacca, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.