Organization Active NPI

Zoya's Orofacial Pain and Dental Sleep Remedies PLLC

  • Orofacial Pain Dentistry
  • Golden Valley, MN
National Provider Identifier
1306513023
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
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

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Dr. Mariam Tahir Siddiqui, BDS, MSNPI 1912585126
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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orofacial Pain DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211206001643 MN Part B Supplier - Clinic/Group Practice 3779984604 Receives reassigned benefits from 1 practitioner
Practice locations: Golden Valley, MN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.