Sirak Workneh DDS,Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

45055 Issued in CA

Legal business name

SIRAK WORKNEH DDS,INC.

Practice address

430 Pine St
Galt, CA 95632-2045

Phone

(209) 744-9917

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sirak Yared Workneh, DDS

Title

Ceo

Phone

(209) 744-9917

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• unique dental care Doing business as

Locations

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1639418312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PINE ST",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322045",
            "telephone_number": "209-744-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PINE ST",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322045",
            "telephone_number": "209-744-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRAK WORKNEH DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "WORKNEH",
        "authorized_official_first_name": "SIRAK",
        "authorized_official_middle_name": "YARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-744-9917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "45055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTACRE",
            "identifier": "45055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "unique dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Serrano
• Arti Sharma, PHARM.D.
• Kira Elyse Shimozaki
• Shirecliffe Dental Corporation
• David Street Shirecliffe, DDS
• John Solorzano
• Rita P. Soria
• Hugo Sosa, SUDCC II # 7329
• Vanessa Sosa
• Jason Thomas Speaks, PHD, FNP-C, RN

• Exclusive Provider Organization in Galt, CA
• Providers in Galt, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.