Individual provider Active NPI

Brandon Albert Sierra

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1962057042
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103995 Issued in CA
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.

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

OrganizationSpecialtyStatusNew patients
Brandon a Sierra DDS Inc CurrentSince Sep 4, 2022 Accepting new patients
Abc Dental Group,Dr'S Fay,Myint,Aung a Prof.Dental Corp. General Practice PastSince Oct 9, 2022 Accepting new patients
Rickey & Wong, DDS, Inc. General Practice PastSince Aug 1, 2019 Accepting new patients

Locations

2544 S Mooney Blvd
Visalia, CA 93277
Phone (559) 733-9797

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103995 CA
General Practice Dentistry 1223G0001X 103995 CA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.