Individual provider Active NPI

Siama I Muhammad, D.M.D.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1255533212
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054148 Issued in NY
Practice address
111 4TH Ave
Brooklyn, NY 11217-2712
Phone
(718) 369-2300
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054148 NY Primary
General Practice Dentistry 1223G0001X 21409 MA

Addresses

Primary practice location

111 4TH Ave
Brooklyn, NY 11217-2712

Mailing address

111 4TH Ave
Brooklyn, NY 11217-2712
Phone (718) 369-2300

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

LicenseStateTypeSpecialty
054148NYMDDentist
21409MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Oak Dental Care Dentist CurrentSince Aug 10, 2025 Accepting new patients

Locations

111 4th Ave
Brooklyn, NY 11217
Phone (718) 369-2300

Organizations & group practices 1

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1255533212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172712",
            "telephone_number": "718-369-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172712",
            "telephone_number": "718-369-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "SIAMA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054148",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.