Siddiqui Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SIDDIQUI ORTHODONTICS, PC

Practice address

2211 Monroe St
Dearborn, MI 48124-3007

Phone

(313) 565-0880

Fax

(313) 565-2305

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mamnoon Siddiqui, DDS, MSNPI 1336225713

Title

President

Phone

(313) 565-0880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mamnoon Ahmed Siddiqui, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dearborn, MI
  • NPI 1336225713
  NPD Authorized official

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1306470596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243007",
            "telephone_number": "313-565-0880",
            "fax_number": "313-565-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243007",
            "telephone_number": "313-565-0880",
            "fax_number": "313-565-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27250 Wixom Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741116",
            "country_code": "US",
            "telephone_number": "248-916-9120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Canton Center Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481875096",
            "country_code": "US",
            "telephone_number": "734-697-1979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIDDIQUI ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MAMNOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-565-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan Shukr, RPH
• Julie J Shultz, MD
• Sayfur Rahman Shuyeb
• Linda Siaje
• Lynn Elizabeth Siciliano, PT
• Areeba Siddiqui
• Mamnoon Ahmed Siddiqui, D.D.S., M.S.
• Rija Siddiqui
• Wagdy Maher Sidrak, MD
• Thomas S Siegel, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.