Sia N. Hersini, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SIA N. HERSINI, DMD, PC

Practice address

404 William St
Suite D
Geneva, NY 14456-2143

Phone

(315) 789-9054

Fax

(315) 781-1297

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Sia N Hersini, DMD

Title

Ceo

Phone

(315) 789-9054

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Siamak N Hersini, DMD

  • General Practice Dentistry
  • Irvington, NY
  • NPI 1760529499
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699807362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WILLIAM ST",
            "address_2": "SUITE D",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562143",
            "telephone_number": "315-789-9054",
            "fax_number": "315-781-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WILLIAM ST",
            "address_2": "SUITE D",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562143",
            "telephone_number": "315-789-9054",
            "fax_number": "315-781-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIA N. HERSINI, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSINI",
        "authorized_official_first_name": "SIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-789-9054",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02146138",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Ellen Shields, RN
• Albert Shih
• Katharine J Shipley, LCSW-R
• Sindie L. Shollenberger, M.S.P.T.
• Christine C Shultz, MS SLP-CCC
• Patricia Ann Siegel, OTRL
• Jamie Simon
• Kavena Sivakumar, MD
• Teresa Jane Skalyo, DDS
• Michael T Skelly, D.P.T.

• General Practice Dentistry in Geneva, NY
• Providers in Geneva, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.