Active NPI
Brandon Albert Sierra
- General Practice Dentistry
- Visalia, CA
National Provider Identifier
1962057042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 103995
- Practice address
- 2544 S Mooney Blvd
Visalia, CA 93277-6237 - Phone
- (559) 733-9797
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Visalia, CA
- NPI 1952021677
-
- General Practice Dentistry
- Visalia, CA
- NPI 1467576017
General Practice
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon a Sierra DDS Inc | Current | Accepting new patients | |
| Abc Dental Group,Dr'S Fay,Myint,Aung a Prof.Dental Corp. | General Practice | Past | Accepting new patients |
| Rickey & Wong, DDS, Inc. | General Practice | Past | Accepting new patients |
Locations
2544 S Mooney Blvd
Visalia, CA 93277
Phone (559) 733-9797
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 103995 | CA | |
| General Practice Dentistry | 1223G0001X | 103995 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2544 S Mooney Blvd
Visalia, CA 93277-6237
Mailing address
811 Marc Anthony PL
Lindsay, CA 93247-1465
Phone (559) 788-9506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2022.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1962057042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 MARC ANTHONY PL",
"city": "LINDSAY",
"state": "CA",
"postal_code": "932471465",
"telephone_number": "559-788-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 S MOONEY BLVD",
"city": "VISALIA",
"state": "CA",
"postal_code": "932776237",
"telephone_number": "559-733-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA",
"first_name": "BRANDON",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103995",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "103995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.