Individual provider Active NPI

Donald Joseph Sirianni, DMD

  • Dentist
  • Milwaukie, OR
National Provider Identifier
1407027527
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D3991 Issued in OR
Practice address
6969 SE Lake Rd
Milwaukie, OR 97267-2103
Phone
(503) 654-8283
Fax
(503) 698-6765
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D3991 OR Primary

Addresses

Primary practice location

6969 SE Lake Rd
Milwaukie, OR 97267-2103

Mailing address

11320 SE Lenore St
Happy Valley, OR 97086-2732
Phone (503) 698-7748

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

State licenses

LicenseStateTypeSpecialty
D3991ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael C. Regan D.M.D. P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1407027527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 SE LENORE ST",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862732",
            "telephone_number": "503-698-7748",
            "fax_number": "503-698-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672103",
            "telephone_number": "503-654-8283",
            "fax_number": "503-698-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIANNI",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D3991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

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

Verify at the official NPI Registry.