Maha Siddiqi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401417566 Issued in VA

Practice address

504 Elden St Ste 1
Herndon, VA 20170-4742

Phone

(703) 464-0000

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ismile of Manassas PLLC

  • Dental Clinic/Center
  • Manassas, VA
  • NPI 1265902407
  NPD (past)
• James W Willis DDS PLC

  • Dentist
  • Crozet, VA
  • NPI 1972210268
  NPD (past)
• James W Willis V DDS PLC

  • Dentist
  • Waynesboro, VA
  • NPI 1205543501
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1033780267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 ALTENBURY LOOP",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ELDEN ST STE 1",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704742",
            "telephone_number": "703-464-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "MAHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ya Shi
• Pamela Gail Shields, PT
• Nada Ali Shihadeh, DMD
• Amy Shinal, MSW, LCSW
• Rajitha Siddineni, MD
• Khushbinder Kaur Sidhu
• Joseph Andrew Signorino, PT, DPT, DSC, OCS
• Michael A Silverstein, MD
• Chaehoon Sim
• Frances Simmons

• Dentist in Herndon, VA
• Providers in Herndon, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.