Individual provider Active NPI

Ramya Siddaiah, BDS, MDS (OMFS), DDS

  • General Practice Dentistry
  • Cape Girardeau, MO
National Provider Identifier
1255083564
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2024014525 Issued in MO
Practice address
157 Siemers Dr # 106
Cape Girardeau, MO 63701-4920
Phone
(573) 970-3275
Fax
(573) 335-5607
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2024014525 MO Primary

Addresses

Primary practice location

157 Siemers Dr # 106
Cape Girardeau, MO 63701-4920

Mailing address

157 Siemers Dr # 106
Cape Girardeau, MO 63701-4920
Phone (573) 970-3275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20240614001471 MO Practitioner - Dentist 4082097308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Trails Medical Center CurrentSince May 20, 2024 Accepting new patients
Cross Trails Medical Center CurrentSince May 20, 2024 Accepting new patients
Dental Experts, LLC General Practice PastSince Jan 1, 2022 Accepting new patients

Locations

408 S Broadview St
Cpe Girardeau, MO 63703
Phone (573) 332-0808

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1255083564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SIEMERS DR # 106",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014920",
            "telephone_number": "573-970-3275",
            "fax_number": "573-335-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 SIEMERS DR # 106",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014920",
            "telephone_number": "573-970-3275",
            "fax_number": "573-335-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDAIAH",
        "first_name": "RAMYA",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS (OMFS), DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2024014525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.