Elsie Judith Sierra Nieves, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN18967 Issued in PR

Practice address

2426 S Tamiami TRL FL 2
Sarasota, FL 34239-3842

Phone

(941) 366-0474

Fax

(941) 366-0292

NPI assigned

Aug 24, 2007

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1326231135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 S TAMIAMI TRL FL 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393842",
            "telephone_number": "941-366-0474",
            "fax_number": "941-366-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 S TAMIAMI TRL FL 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393842",
            "telephone_number": "941-366-0474",
            "fax_number": "941-366-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA NIEVES",
        "first_name": "ELSIE",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "DN18967",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Siegel, MD
• Deborah Phipps Siegel, ARNP
• Jaimie Anne Siegel, RN
• Susan Kole Siegel, PHD
• Keith Sieracki, PA-C
• Madeline Grace Sierra
• Siesta Addictions Specialists (MindSol Wellness Center)
• Siesta Addictions Specialists (MindSol Wellness Center)
• Siesta Family Dentistry
• Siesta Key Healthcare Services LLC

• Endodontics in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.