Individual provider Active NPI

Siamak N Hersini, DMD

  • General Practice Dentistry
  • Irvington, NY
National Provider Identifier
1760529499
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TLD5285 Issued in ME
Practice address
1 S. Astor Sr.
Apt 504
Irvington, NY 10533
Phone
(914) 261-1650
NPI assigned
Jan 31, 2007
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00206399 CO
Dentist 122300000X TLD5285 ME
General Practice Dentistry 1223G0001X TLD5285 ME Primary
General Practice Dentistry 1223G0001X DEN.00206399 CO
General Practice Dentistry 1223G0001X 048827 NY

Addresses

Primary practice location

1 S. Astor Sr.
Apt 504
Irvington, NY 10533

Mailing address

1 S. Astor Sr.
Apt 504
Irvington, NY 10533
Phone (914) 261-1650

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

LicenseStateTypeSpecialty
00206399COMDDentist
TLD5285MEMDDentist
DEN.00206399COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Downeast Center for Restorative Dentistry Dentist PastSince Sep 1, 2025 Accepting new patients
Sia N. Hersini, DMD, PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1760529499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S. ASTOR SR.",
            "address_2": "APT 504",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "10533",
            "telephone_number": "914-261-1650",
            "fax_number": "315-781-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S. ASTOR SR.",
            "address_2": "APT 504",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "10533",
            "telephone_number": "914-261-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSINI",
        "first_name": "SIAMAK",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00206399",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "TLD5285",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "TLD5285",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00206399",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.