Active NPI
Zoya's Orofacial Pain and Dental Sleep Remedies PLLC
- Orofacial Pain Dentistry
- Golden Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- Legal business name
- ZOYA'S OROFACIAL PAIN AND DENTAL SLEEP REMEDIES PLLC
- Doing business as
- Zoya's Orofacial Pain and Dental Sleep Remedies PLLC
- Practice address
- 1405 Lilac Lane Drive North
Suite 150 K
Golden Valley, MN 55422-4536 - Phone
- (763) 762-6549
- Fax
- (763) 762-6573
- NPI assigned
- Aug 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mariam Tahir Siddiqui, BDS, MS
- Title
- Dr
- Phone
- (612) 735-0950
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orofacial Pain Dentistry | 1223X2210X | Primary |
Addresses
Primary practice location
1405 Lilac Lane Drive North
Suite 150 K
Golden Valley, MN 55422-4536
Mailing address
18500 County Road 6
Plymouth, MN 55447-2531
Phone (612) 735-0950
Other names 1
- ZOYA'S OROFACIAL PAIN AND DENTAL SLEEP REMEDIES PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1405 Lilac Dr N
Ste 150K
Minneapolis, MN 55422
Phone (763) 762-6549
4033 Brookside Ave
St Louis Park, MN 55416
Phone (952) 920-1281
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1306513023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18500 COUNTY ROAD 6",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554472531",
"telephone_number": "612-735-0950",
"fax_number": "952-920-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 LILAC LANE DRIVE NORTH",
"address_2": "SUITE 150 K",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224536",
"telephone_number": "763-762-6549",
"fax_number": "763-762-6573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZOYA'S OROFACIAL PAIN AND DENTAL SLEEP REMEDIES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-30",
"last_updated": "2022-06-09",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "MARIAM",
"authorized_official_middle_name": "TAHIR",
"authorized_official_title_or_position": "DR",
"authorized_official_telephone_number": "612-735-0950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "BDS, MS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orofacial Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ZOYA'S OROFACIAL PAIN AND DENTAL SLEEP REMEDIES PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ZOYA'S OROFACIAL PAIN AND DENTAL SLEEP REMEDIES PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.