SIRI K. ZIESE DDS INC. (NPI# 1174026264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174026264 |
| Entity Type | Organization |
| Organization Name | SIRI K. ZIESE DDS INC. |
| Other Organization Name | ZIESE FAMILY DENTISTRY |
| Practice Address |
6400 Pleasant Valley Rd El Dorado CA 95623-4230 |
| Practice Telephone | 5306222862 |
| Practice Fax Number | 5306222072 |
| Mailing Telephone | 5306222862 |
| Mailing Fax Number | 5306222072 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | SIRI KATE ZIESE (DENTIST) |
| Authorized Official Telephone | 5306222862 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D56147 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ziese Family Dentistry | Doing Business As Name - Organization |
| Street Address |
6400 PLEASANT VALLEY RD |
| City | EL DORADO |
| State | CA |
| Zip Code | 95623-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992998496 | Siri Kate Ziese | Dentist | 6400 Pleasant Valley Rd, El Dorado, CA 95623-4230 | 2007-08-20 |
| 1790921989 | Pleasant Valley Dental | Dentist | 6400 Pleasant Valley Rd, El Dorado, CA 95623-4230 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877884 | Laura Hope Jassowski | Specialist/Technologist | 4808 East China Hill Rd, El Dorado, CA 95623 | 2016-09-01 |
| 1629449228 | Milo A Laguna | Counselor | 6741 State Highway 49, El Dorado, CA 95623 | 2015-10-08 |
| 1740588029 | Chris Lee Hamman | Specialist | 6308 Pollock Ave., Eldorado, CA 95623 | 2011-03-10 |
| 1811196603 | Martin Yablonovsky | Chiropractor | 6211b Pleasant Valley Rd, El Dorado, CA 95623-4232 | 2007-07-12 |
| 1437710191 | Summitview Child & Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5343 Spreading Oak Ln, El Dorado, CA 95623-4532 | 2019-06-24 |
| 1427280551 | Jeffrey James Weiland | Specialist/Technologist, Other | 4867 Summit View Dr, El Dorado, CA 95623-4601 | 2009-08-24 |
| 1700293966 | Shan Katherine Haley | Registered Nurse | 7221 Cinnabar Ct, El Dorado, CA 95623-4852 | 2014-07-18 |
| 1730245762 | John H. Prock | Marriage & Family Therapist | 6980 Crystal Blvd, El Dorado, CA 95623-4866 | 2006-12-27 |
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285828608 | El Dorado Family Dentistry P.a. | Clinic/Center | 202 N Main St, El Dorado, KS 67042-2018 | 2007-08-29 |
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|---|---|---|---|---|
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| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.