Active NPI
Maykel Sierra, DMS
- Dentist
- Kissimmee, FL
National Provider Identifier
1629458294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21240
- Practice address
- 745 W Osceola Pkwy
Kissimmee, FL 34741-7565 - Phone
- (857) 239-5543
- NPI assigned
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | DN21240 | FL | Primary |
Addresses
Primary practice location
745 W Osceola Pkwy
Kissimmee, FL 34741-7565
Mailing address
745 W Osceola Pkwy
Kissimmee, FL 34741-7565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN21240 | Other | FL | DENTAL LINCENSE NUMBER |
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 |
|---|---|---|---|
| DN21240 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1629458294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 W OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 W OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417565",
"telephone_number": "857-239-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA",
"first_name": "MAYKEL",
"name_prefix": "Mr.",
"credential": "DMS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LINCENSE NUMBER",
"identifier": "DN21240",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.