George Frederick Siersma, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3705 Issued in CO

Practice address

14025 E Exposition Ave
Aurora, CO 80012-2522

Phone

(303) 340-0422

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Cozy Dental

  • Dentist
  • Aurora, CO
  • NPI 1184934903
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1669582631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14025 E EXPOSITION AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122522",
            "telephone_number": "303-340-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14025 E EXPOSITION AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122522",
            "telephone_number": "303-340-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERSMA",
        "first_name": "GEORGE",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02037059",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Rebecca Siegel, MD
• Gabriel Siegel, MD
• Bradford James Siegele, MD
• Amber Sieja, MD
• Michele Sienkiewicz, LCSW
• Maria Ayana Sifuentez
• Telsha Sigdel
• Karin Ann Sigdestad Rohleder, MD
• Eric Sigel, MD
• Melinda Sigle

• Orthodontics and Dentofacial Orthopedics Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.