Steven Mark Sieraski, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Practice address

3601 General Electric Rd
Suite 6
Bloomington, IL 61704-8533

Phone

(309) 663-9521

Fax

(309) 663-0346

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

No

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 IL

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

Practice roles

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.

• Endodontic Specialists LLC

  • Endodontics
  • Bloomington, IL
  • NPI 1194895219
  NPD (past) Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568664886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INGLEWOOD LN",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048522",
            "telephone_number": "309-275-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 GENERAL ELECTRIC RD",
            "address_2": "SUITE 6",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048533",
            "telephone_number": "309-663-9521",
            "fax_number": "309-663-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERASKI",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Shrode
• Megan S Shull
• Samweli P Siame
• Cecilia Siberon-Sone, ARNP
• William Lloyd Sielschott, PHARMACIST
• Rebecca Anne Sierra, M.D.
• Sikora & Jacobsen LLC
• Christopher Michael Sikora, D.M.D.
• Erin Ruth Silanskis
• Jennifer Ann Silanskis

• Endodontics in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.