Zachary Siegler, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

83 Issued in OK

Practice address

6565 S Yale Ave Ste 712
Tulsa, OK 74136-8308

Phone

(918) 481-6622

NPI assigned

Jul 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 6, 2022 through Dec 6, 2026

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.

• Scissortail Endodontic Specialists

  • Dental Clinic/Center
  • Tulsa, OK
  • NPI 1407655632
  NPD Authorized official
• Tulsa Endodontic Associates

  • Dentist
  • Tulsa, OK
  • NPI 1619199239

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1811560766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 E 108TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376857",
            "telephone_number": "918-232-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 712",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368308",
            "telephone_number": "918-481-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGLER",
        "first_name": "ZACHARY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OK",
            "license": "83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June L Siebert, LPC
• Savannah Siegenthaler
• Amber Jo Siegfried, LPC
• Christian Hotambee Siegle, OMS II, DO
• David Jonathan Siegler, MD
• Christopher R Siemens, MD
• Meshae Sheri Siemens, LPN
• Roger Albert Siemens, M.D.
• Emelizia Silva Sierra, BA
• Kimberly Siewert

• Endodontics in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Endodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.