Active NPI
Kathryn Anne Siemens, D.D.S.
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1376717140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55667
- Practice address
- 1207 W Shaw Ave
Fresno, CA 93711-3707 - Phone
- (559) 229-3556
- Fax
- (559) 229-3557
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55667 | CA | Primary |
Addresses
Primary practice location
1207 W Shaw Ave
Fresno, CA 93711-3707
Mailing address
1207 W Shaw Ave
Fresno, CA 93711-3707
Phone (559) 229-3556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1376717140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113707",
"telephone_number": "559-229-3556",
"fax_number": "559-229-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113707",
"telephone_number": "559-229-3556",
"fax_number": "559-229-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEMENS",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Marti Ann Sidoli-Tanner, RDH, RDHAP
- Andrey Ivanovich Sidorenko, PA-C, DMSC
- Dominique Julianna Sidoti
- Andrew Anthony Siegel
- William Lowell Siegfried, M.D.
- Mary Catherine Siemens, MA
- Sierra Anesthesai Associates
- Sierra Blackston Medical Supply Inc.
- Sierra Education & Research Institute
- Sierra Family Medical Group Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.