John Clinton Sieweke, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9102 Issued in GA

Practice address

Pike Plaza
417 Plaza Dr.
Zebulon, GA 30295-3029

Phone

(770) 227-9693

NPI assigned

Sep 3, 2006

Last updated

May 16, 2022By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1205938826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 E COLLEGE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244311",
            "telephone_number": "770-639-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PIKE PLAZA",
            "address_2": "417 PLAZA DR.",
            "city": "ZEBULON",
            "state": "GA",
            "postal_code": "302953029",
            "telephone_number": "770-227-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 E College St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244311",
            "country_code": "US",
            "telephone_number": "770-639-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEWEKE",
        "first_name": "JOHN",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2022-05-16",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pike County Board of Health (Pike County Health Department)
• Pike Manor Inc.
• Ravinder Baimeedi Reddy, M.D.
• Jennifer Nicole Rice, PHD
• Jessica Ridgeway, LMFT
• Upson County Hospital Inc. (Upson Family Physicians)
• Haley Waters
• Pamela Whitaker, OT

• General Practice Dentistry in Zebulon, GA
• Providers in Zebulon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.