Siara Zee Elovich, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13137 Issued in MN

Practice address

1736 Cope Ave E
Maplewood, MN 55109-2610

Phone

(202) 246-9012

NPI assigned

Jul 25, 2012

Sex

Female

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

Enrolled in MN

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

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1386990539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092610",
            "telephone_number": "202-246-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092610",
            "telephone_number": "202-246-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOVICH",
        "first_name": "SIARA",
        "middle_name": "ZEE",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Elliot, D.C.
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• Jennifer L. Englund, M.D.
• Andrea Ward Enos, LADC
• Erick C Swenson D.C., P.a.

• Dentist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.