Organization Active NPI

Siri C Steinle DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brockton, MA
National Provider Identifier
1780794347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
17979 Issued in MA
Legal business name
SIRI C STEINLE DMD PC
Practice address
1058 North Main St
Brockton, MA 02301
Phone
(508) 583-3171
Fax
(508) 583-3180
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Siri C Steinle, DMD CAGSNPI 1316118458
Title
Orthodontist President of Corp
Phone
(508) 583-3171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 17979 MA Primary

Addresses

Primary practice location

1058 North Main St
Brockton, MA 02301

Mailing address

1058 North Main St
Brockton, MA 02301
Phone (508) 583-3171

Other identifiers 1

IdentifierTypeStateIssuer
0276197MedicaidMA

National Provider Directory

National Provider Directory

Locations

1058 N Main St
Brockton, MA 02301
Phone (508) 583-3171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780794347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 NORTH MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-583-3171",
            "fax_number": "508-583-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 NORTH MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-583-3171",
            "fax_number": "508-583-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRI C STEINLE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEINLE",
        "authorized_official_first_name": "SIRI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORTHODONTIST PRESIDENT OF CORP",
        "authorized_official_telephone_number": "508-583-3171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD CAGS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "17979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276197",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • 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.