Active NPI
Sierra Rose Poelstra, DDS
- Dentist
- Goldsboro, NC
National Provider Identifier
1497486146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00205208
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205208 | CO | MD | Dentist |
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.