Active NPI
Khizar Khalid Siddiqui, DMD
- General Practice Dentistry
- Providence, RI
National Provider Identifier
1205649167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN03883
- Practice address
- 5 Benefit St
Providence, RI 02904-2762 - Phone
- (401) 521-3822
- NPI assigned
- Jan 27, 2025
- Last updated
- Jul 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN03883 | RI | Primary |
| General Practice Dentistry | 1223G0001X | DN10001547 | MA |
Addresses
Primary practice location
5 Benefit St
Providence, RI 02904-2762
Mailing address
635 Albany St
Boston, MA 02118-3550
Phone (617) 358-8300
Other practice location 1
230 Rhode Island Ave
Fall River, MA 02724-3525
Phone (508) 646-9600
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefit Dental Care, LLC | General Practice | Past | Accepting new patients |
| Robert L. Seinsky DMD | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Providence, RI
- NPI 1154782290
-
- Dental Clinic/Center
- Providence, RI
- NPI 1689988602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1205649167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183550",
"telephone_number": "617-358-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BENEFIT ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042762",
"telephone_number": "401-521-3822"
}
],
"practiceLocations": [
{
"address_1": "230 Rhode Island Ave",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027243525",
"country_code": "US",
"telephone_number": "508-646-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "KHIZAR",
"middle_name": "KHALID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-27",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "DEN03883",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN10001547",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.