Organization Active NPI

Siri K. Ziese DDS Inc.

Doing business as Ziese Family Dentistry

  • Dental Clinic/Center
  • Placerville, CA
National Provider Identifier
1174026264
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D56147 Issued in CA
Legal business name
SIRI K. ZIESE DDS INC.
Doing business as
Ziese Family Dentistry
Practice address
1008 Fowler Way Ste a
Placerville, CA 95667-5701
Phone
(530) 622-2862
Fax
(530) 622-2072
NPI assigned
Mar 14, 2018
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Siri Kate Ziese, DDSNPI 1992998496
Title
Dentist
Phone
(530) 622-2862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D56147 CA Primary

Addresses

Primary practice location

1008 Fowler Way Ste a
Placerville, CA 95667-5701

Mailing address

1008 Fowler Way Ste a
Placerville, CA 95667-5701
Phone (530) 622-2862

Other practice location 1

6400 Pleasant Valley Rd
El Dorado, CA 95623-4230
Phone (530) 622-2862

Other names 1

  • Ziese Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6400 Pleasant Valley Rd
El Dorado, CA 95623
Phone (530) 622-2862

1008 Fowler Way
Ste A
Placerville, CA 95667
Phone (530) 622-2862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1174026264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 FOWLER WAY STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675701",
            "telephone_number": "530-622-2862",
            "fax_number": "530-622-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 FOWLER WAY STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675701",
            "telephone_number": "530-622-2862",
            "fax_number": "530-622-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "CA",
            "postal_code": "956234230",
            "country_code": "US",
            "telephone_number": "530-622-2862",
            "fax_number": "530-622-2072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIRI K. ZIESE DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "ZIESE",
        "authorized_official_first_name": "SIRI",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "530-622-2862",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D56147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ziese Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.