Doctor profile · Federal record

Dr. JACK SIEGRIST, D.D.S.

General Practice Dentistry · IRVING, TX

  • NPI 1457484461
  • 19 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5205 N O CONNOR BLVD, #150
IRVING, TX 750393707
(972) 556-2122
fax (972) 556-2331
Mailing address
2100 TREE TOP CT
GRANBURY, TX 760498067

Credentials & registration

NPPES · NUCC
NPI registered
March 2007 — 19 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Texas #9950

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1457484461. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$64
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Dentsply Sirona Inc 1 $43.93
Align Technology, Inc. 1 $19.88

By nature of payment

Food and Beverage
$64

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
40
Patients
23
Total drug cost
$202
Drug Type Claims Patients Total cost
Amoxicillin Generic 40 23 $202

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 19, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›