Staci Friese, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09102 Issued in IA

Practice address

2335 Highway 92
Oskaloosa, IA 52577-9626

Phone

(641) 673-8455

NPI assigned

Jul 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Staci Sieren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Family Dental Practice, P.C.

  • Dentist
  • Oskaloosa, IA
  • NPI 1548480809
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1780090563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 HIGHWAY 92",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525779626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 HIGHWAY 92",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525779626",
            "telephone_number": "641-673-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESE",
        "first_name": "STACI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "SIEREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Focuspoint Chiropractic PLLC
• Kyle Larry Ford, DDS
• Mark Allan Ford, DC
• Daniel Joseph Foster, O.D.
• Kristi Lyn Foster, HIS
• Andrew M Frost, DO
• Darci K Fuller
• Bob Gene Gaffney, L.I.S.W.
• Jacquelene Diane Garden, ARNP
• Amber Garthwaite

• Dentist in Oskaloosa, IA
• Providers in Oskaloosa, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.