NPIMap

Organization Active NPI

Sierra Dental Inc.

  • General Practice Dentistry
  • Southwest Ranches, FL
National Provider Identifier
1548683089
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0012206 Issued in FL
Legal business name
SIERRA DENTAL INC.
Practice address
4849 SW 148TH Ave
Southwest Ranches, FL 33330-2129
Phone
(954) 434-1702
Fax
(954) 689-4828
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Carlos L Sierra, DDS
Title
Owner
Phone
(954) 434-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN0012206 FL Primary

Addresses

Primary practice location

4849 SW 148TH Ave
Southwest Ranches, FL 33330-2129

Mailing address

4849 SW 148TH Ave
Southwest Ranches, FL 33330-2129
Phone (954) 434-1702

National Provider Directory

National Provider Directory
Tax ID family
Sierra Dental Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4849 Volunteer Rd
Davie, FL 33330
Phone (954) 252-0667

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1548683089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 SW 148TH AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302129",
            "telephone_number": "954-434-1702",
            "fax_number": "954-689-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 SW 148TH AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302129",
            "telephone_number": "954-434-1702",
            "fax_number": "954-689-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-434-1702",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.