Sierra Sky Dental LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

SIERRA SKY DENTAL LLC

Practice address

5259 W Indian School Rd
Suite 110
Phoenix, AZ 85031-2604

Phone

(623) 849-1000

Fax

(623) 873-7616

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Lorena T Ruiz

Title

Office Manager

Phone

(623) 849-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1609110915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5259 W INDIAN SCHOOL RD.",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85031",
            "telephone_number": "623-849-1000",
            "fax_number": "623-873-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 W INDIAN SCHOOL RD",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312604",
            "telephone_number": "623-849-1000",
            "fax_number": "623-873-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA SKY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-849-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nona A Siegel, NP
• Steven Mark Siegelman, M.S. CCC-SLP
• Kayla Siegfried, MS, BCBA
• Shannon Siemsen, OTR/L
• Sierens Counseling Services LLC
• Sierra Vista Medical Supply LLC
• Cindy Sierra
• Tatiana Maria Sierra, COTA/L
• Victoria Elisa Sierra, PT
• Sierrabehavioralhealth.LLC

• Public Health Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Public Health Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.