Klsirage LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KLSIRAGE LLC

Practice address

8688 SW 72 St
Miami, FL 33143

Phone

(305) 482-3559

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Katherine Lorenzo Sirage, DMDNPI 1316329527

Title

Owner

Phone

(786) 223-9795

Specialties & licenses 1

Addresses

Other names 1

• Mirage Dental Arts Doing business as

Locations

Practitioners 1

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

• Katherine Lorenzo Sirage, D.M.D.

  • Dentist
  • Miami, FL
  • NPI 1316329527
  NPD Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1821610395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8688 SUNSET DRIVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-482-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8688 SW 72 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-482-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLSIRAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "SIRAGE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-223-9795",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirage Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mirage Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Kloosterboer, MD
• Iliana Klopfenstein, LMHC
• David Klos, APRN
• Franziska G. Klostermyer, DMD
• KLS PT LLC
• Bethanne T Klugerman, DMD
• Stephan A Klumpp, MD
• Shawn Thomas Klyachman, PHARM.D.
• David Klyde, M.D.
• KMC Rehabilitation Center Inc

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.