Daniel Sierra-Vasquez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041613 Issued in PA

Practice address

798 Connetquot Ave
Islip Terrace, NY 11752-1804

Phone

(631) 338-4983

NPI assigned

May 17, 2017

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1497282768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 CONNETQUOT AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 CONNETQUOT AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521804",
            "telephone_number": "631-338-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA-VASQUEZ",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sandino, LPN
• Danielle Moreno Santos, OTR/L
• Suzanne Sarni, LPN
• Menchi Zarco Serina, RN, CERTIFIED HEALTH
• Rizwana Shams, M.D.
• Susan Simpson, REGISTERED NURSE
• Allison L Sinclair
• Peter Singer
• Sleeping and Snoring Solutions of Long Island
• Meaghan Smith

• General Practice Dentistry in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.