Nicole Julia Siara-Olds, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901018908 Issued in MI

Practice address

38110 Michigan Ave
Wayne, MI 48184-2842

Phone

(734) 728-1705

Fax

(734) 728-1762

NPI assigned

Dec 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230681600000",
    "number": "1962648618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 THOMAS AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723170",
            "telephone_number": "248-298-6499",
            "fax_number": "248-246-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38110 MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842842",
            "telephone_number": "734-728-1705",
            "fax_number": "734-728-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIARA-OLDS",
        "first_name": "NICOLE",
        "middle_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018908",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901018908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dasha Shchukina, LMSW
• Leila Nicole Shelley
• Debbie Sherman, OT
• Jacqueline Shingleton, LLBSW
• Muhammed Shwehdi
• Essa J. Sidiqi, M.D.
• Ranajit Sil, MD, PHD
• Damiaya Simmons
• Amanda Mary Simon
• Aaron Simpson, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Wayne, MI
• Providers in Wayne, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.