Active NPI
Abuzar Arshi Siddiqui, BDS,MPH
- Dental Anesthesiology
- Alvin, TX
National Provider Identifier
1154876035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 34645
- Practice address
- 112 W House St
Alvin, TX 77511-2811 - Phone
- (281) 968-7048
- Fax
- (832) 514-3630
- NPI assigned
- Aug 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 34645 | TX | Primary |
Addresses
Primary practice location
112 W House St
Alvin, TX 77511-2811
Mailing address
269 Union St
Lynn, MA 01901-1314
Phone (781) 581-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39609401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34645 | TX | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1154876035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 UNION ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "781-581-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W HOUSE ST",
"city": "ALVIN",
"state": "TX",
"postal_code": "775112811",
"telephone_number": "281-968-7048",
"fax_number": "832-514-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "ABUZAR",
"middle_name": "ARSHI",
"name_prefix": "Dr.",
"credential": "BDS,MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-19",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "TX",
"license": "34645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39609401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alvin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.