Individual provider Active NPI

Sierra Rose Poelstra, DDS

  • Dentist
  • Goldsboro, NC
National Provider Identifier
1497486146
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205208 Issued in CO
Practice address
Kiecker Dental Clinic
2803 Medical Campus Drive
Goldsboro, NC 27531-2301
Phone
(919) 722-1733
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205208 CO Primary

Addresses

Primary practice location

Kiecker Dental Clinic
2803 Medical Campus Drive
Goldsboro, NC 27531-2301

Mailing address

3067 Hudson Ter
Naples, FL 34119-3383
Phone (239) 821-8276

Other names 1

  • Dr. Sierra Nicole Rose Former name

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
DEN.00205208COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1497486146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 HUDSON TER",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193383",
            "telephone_number": "239-821-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KIECKER DENTAL CLINIC",
            "address_2": "2803 MEDICAL CAMPUS DRIVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275312301",
            "telephone_number": "919-722-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POELSTRA",
        "first_name": "SIERRA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIERRA",
            "last_name": "ROSE",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.