Active NPI
Antonio Sierra, D.P.M.
- Student in an Organized Health Care Education/Training Program
- Mount Airy, NC
National Provider Identifier
1205523602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 367 S Andy Griffith Pkwy Ste 200
Mount Airy, NC 27030-4010 - Phone
- (336) 443-9190
- NPI assigned
- Apr 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 877 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Podiatrist | 213E00000X | 877 | NC | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 877 | NC |
Addresses
Primary practice location
367 S Andy Griffith Pkwy Ste 200
Mount Airy, NC 27030-4010
Mailing address
1036 Branchview Dr Ste 216
Concord, NC 28025-0113
Phone (704) 886-1918
Other practice location 1
119 Ingram Dr
King, NC 27021-8205
Phone (336) 443-9190
Other practice location 2
205 S Front Street
Brady 905
Harrisburg, PA 17104
Phone (717) 231-8429
Other practice location 3
6341 Cook Ave Ste D
Clemmons, NC 27012-9380
Phone (336) 443-9190
Other practice location 4
147 Columbine Dr
Winston Salem, NC 27106-3106
Phone (336) 443-9190
Other practice location 5
102 Village Lake Rd
Siler City, NC 27344-1821
Phone (336) 443-9190
Other practice location 6
530 N Elam Ave
Greensboro, NC 27403-1153
Phone (336) 443-9190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230913000149 | PA | Order and Referring Only - Podiatry | 4688038482 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 877 | NC | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1205523602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 BRANCHVIEW DR STE 216",
"city": "CONCORD",
"state": "NC",
"postal_code": "280250113",
"telephone_number": "704-886-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 S ANDY GRIFFITH PKWY STE 200",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304010",
"telephone_number": "336-443-9190"
}
],
"practiceLocations": [
{
"address_1": "119 Ingram Dr",
"address_purpose": "LOCATION",
"city": "King",
"state": "NC",
"postal_code": "270218205",
"country_code": "US",
"telephone_number": "336-443-9190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 S Front Street",
"address_2": "Brady 905",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "17104",
"country_code": "US",
"telephone_number": "717-231-8429",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6341 Cook Ave Ste D",
"address_purpose": "LOCATION",
"city": "Clemmons",
"state": "NC",
"postal_code": "270129380",
"country_code": "US",
"telephone_number": "336-443-9190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "147 Columbine Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271063106",
"country_code": "US",
"telephone_number": "336-443-9190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Village Lake Rd",
"address_purpose": "LOCATION",
"city": "Siler City",
"state": "NC",
"postal_code": "273441821",
"country_code": "US",
"telephone_number": "336-443-9190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 N Elam Ave",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274031153",
"country_code": "US",
"telephone_number": "336-443-9190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIERRA",
"first_name": "ANTONIO",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NC",
"license": "877",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "877",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.