ANTONIO SIERRA D.P.M. - NPI 1205523602 - Student in an Organized Health Care Education/Training Program in Harrisburg, PA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Antonio Sierra D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO SIERRA D.P.M. (NPI 1205523602) is an individual student in an organized health care education/training program in Harrisburg, Pennsylvania and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1205523602

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANTONIO SIERRACredential: D.P.M.

Location Address205 S FRONT STREET, BRADY 905Harrisburg, PA 17104

Mailing Address1036 Branchview Dr Ste 216Concord, NC 28025-0113 · (704) 886-1918

Phone(717) 231-8429

Sole ProprietorNo

Enumeration DateApril 18, 2023

Last NPPES UpdateMay 21, 2026

NPPES CertifiedMay 21, 2026

✔ NPI 1205523602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPodiatristTaxonomy 213E00000X · License 877 (NC)

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 877 (NC)

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 877 (NC)

205 S FRONT STREET, Harrisburg, PA 17104

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Secondary Practice Locations 6

Location 1367 S Andy Griffith Pkwy Ste 200Mount Airy, NC 27030-4010 · Phone (336) 443-9190

Location 2119 Ingram DrKing, NC 27021-8205 · Phone (336) 443-9190

Location 36341 Cook Ave Ste DClemmons, NC 27012-9380 · Phone (336) 443-9190

Location 4147 Columbine DrWinston Salem, NC 27106-3106 · Phone (336) 443-9190

Location 5102 Village Lake RdSiler City, NC 27344-1821 · Phone (336) 443-9190

Location 6530 N Elam AveGreensboro, NC 27403-1153 · Phone (336) 443-9190

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonio Sierra D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.