DR. JOSE A SIERRA JR. DDS, MS
NPI 1386095503
Dentist - Prosthodontics in Franklin, WI
NPI Status: Active since June 29, 2016
Contact Information
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
Phone: (414) 435-0787
- Individual
- Male
- Dentist
- Prosthodontics
- Accepts Insurance
- PECOS Enrolled
About JOSE SIERRA
This page provides the complete NPI Profile along with additional information for Jose Sierra, a provider established in Franklin, Wisconsin with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1386095503 assigned on June 2016. The practitioner's primary taxonomy code is 1223P0700X with license number 1001424-15 (WI). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1386095503
- Provider Name
- DR. JOSE A SIERRA JR. DDS, MS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6855 S 27TH ST FRANKLIN, WI 53132
- Location Phone
- (414) 435-0787
- Mailing Address
- 6855 S 27TH ST FRANKLIN, WI 53132
- Mailing Phone
- (414) 435-0787
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-29-2016
- Last Update Date
- 11-27-2017
- Code Navigator
A dentist like Jose Sierra is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Prosthodontics
- Taxonomy Code
- 1223P0700X
- Type
- Dental Providers
- License No.
- 1001424-15
- License State
- WI
- Taxonomy Description
- That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jose Sierra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53132 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JOSE A SIERRA JR. DDS, MS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 0 | 9 | 5 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 0 | 9 | 10 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 0 + 9 + 1 + 0 + 5 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1386095503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
DR. HIRA SHAHID CHUGHTAI
Dentist
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
MS. NICOLE SAWATZKE D.D.S.
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. CHRISTINA ANNETTE LUNDIN DDS
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. EMILY JANE SKIBINSKI DDS
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
RICHARD BRIAN ARIZA
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. NATALIE W BROWN DDS
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
AARON PAVELSKI DDS
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. YIU CHEUNG CHOW DDS
Dentist
(Periodontics)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. GABRIEL LE GROS DDS
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. EDWARD THOMAS BREECHER DDS
Dentist
(Endodontics)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. MOHAMMED A MANSOUR DDS
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. ALI RADMANESH DDS
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. COLEMAN PATRICK KEESLER DMD
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
RAHUL RAJAGOPALAN DMD
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
RAJ BHAVESH PATEL DDS
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. OMAR KARIM
Dentist
(General Practice)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
DR. ERIC P. LIEDTKE D.D.S.
Dentist
(Orthodontics and Dentofacial Orthopedics)
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
THI MY LINH NGUYEN DDS
Dentist
6855 S 27TH ST
FRANKLIN, WI
ZIP 53132
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386095503, enumerated as an "individual" on June 29, 2016.
The provider is located at 6855 S 27TH ST FRANKLIN, WI 53132 and the phone number is (414) 435-0787.
Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
