Individual provider Active NPI

Siri Kate Ziese, D.D.S.

  • General Practice Dentistry
  • Placerville, CA
National Provider Identifier
1992998496
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56147 Issued in CA
Practice address
1008 Fowler Way Ste a
Placerville, CA 95667-5701
Phone
(530) 622-2862
Fax
(530) 622-2072
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56147 CA Primary

Addresses

Primary practice location

1008 Fowler Way Ste a
Placerville, CA 95667-5701

Mailing address

1008 Fowler Way Ste a
Placerville, CA 95667-5701
Phone (530) 622-2862

Other practice location 1

6400 Pleasant Valley Rd
El Dorado, CA 95623-4230
Phone (530) 622-2862

Other names 1

  • Dr. Siri Kate Harrington Former name

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
Siri K. Ziese DDS Inc. CurrentSince Mar 19, 2023 Accepting new patients

Locations

6400 Pleasant Valley Rd
El Dorado, CA 95623
Phone (530) 344-0290

1008 Fowler Way
Ste A
Placerville, CA 95667
Phone (530) 622-2862

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1992998496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 FOWLER WAY STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675701",
            "telephone_number": "530-622-2862",
            "fax_number": "530-622-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 FOWLER WAY STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675701",
            "telephone_number": "530-622-2862",
            "fax_number": "530-622-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "CA",
            "postal_code": "956234230",
            "country_code": "US",
            "telephone_number": "530-622-2862",
            "fax_number": "530-622-2072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIESE",
        "first_name": "SIRI",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIRI",
            "last_name": "HARRINGTON",
            "middle_name": "KATE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.