Carlos Louis Sierra

Primary specialty

DentistTaxonomy code 122300000X

License

DN0012206 Issued in FL

Practice address

4001 N Ocean Dr Ste 202
Lauderdale by the Sea, FL 33308-5968

Phone

(954) 351-6980

Fax

(954) 351-7927

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sierra Dental Inc

  • Dentist
  • Lauderdale by the Sea, FL
  • NPI 1013331453
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306065875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR STE 202",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-351-6980",
            "fax_number": "954-351-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR STE 202",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-351-6980",
            "fax_number": "954-351-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "CARLOS",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0012206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishal Samuel, DPT
• Tarvehale Saunders, RN, LMT
• See by the Sea Optical
• Sher Dental of Fort Lauderdale PA
• Sierra Dental Inc
• Michelle Marie Skoien, LMHC
• Sound Medtrex Inc
• Shu Juan Sun
• Templar Rising LLC
• The Spine Center, P.a.

• Dentist in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.