Active NPI
Abigail Sirak
- Dentist
- Sacramento, CA
National Provider Identifier
1598570905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111183
- Practice address
- 7300 Franklin Blvd Ste 104
Sacramento, CA 95823-2900 - Phone
- (916) 428-4325
- NPI assigned
- Feb 12, 2025
- 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 | 111183 | CA | Primary |
Addresses
Primary practice location
7300 Franklin Blvd Ste 104
Sacramento, CA 95823-2900
Mailing address
PO Box 24
Wilton, CA 95693-0024
Phone (916) 687-0815
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 |
|---|---|---|---|
| 111183 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1598570905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24",
"city": "WILTON",
"state": "CA",
"postal_code": "956930024",
"telephone_number": "916-687-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 FRANKLIN BLVD STE 104",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232900",
"telephone_number": "916-428-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRAK",
"first_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.