Individual provider Active NPI

Sierra Demarree, DMD

  • General Practice Dentistry
  • Sodus, NY
National Provider Identifier
1417419201
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
061454 Issued in NY
Practice address
67 W Main St
Sodus, NY 14551-1116
Phone
(315) 483-8301
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 061454 NY Primary

Addresses

Primary practice location

67 W Main St
Sodus, NY 14551-1116

Mailing address

67 W Main St
Sodus, NY 14551-1116
Phone (315) 483-8301

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
061454NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra L Demarree DMD PLLC CurrentSince Dec 13, 2022 Accepting new patients
Steven E Gierer DDS PC PastSince Apr 24, 2022 Accepting new patients

Locations

67 W Main St
Sodus, NY 14551
Phone (315) 483-8301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1417419201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W MAIN ST",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145511116",
            "telephone_number": "315-483-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W MAIN ST",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145511116",
            "telephone_number": "315-483-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARREE",
        "first_name": "SIERRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sodus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.