Azfar Aftab Siddiqui, DMD.,MSC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS 031537-L Issued in PA

Practice address

16630 W Greenway Rd Ste 319
Surprise, AZ 85388-2189

Phone

(623) 582-9622

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Dentist

Education

Univ of Pittsburgh School of Dental Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Azfar Siddiqui DMD PLLC

  • Orofacial Pain Dentistry
  • Surprise, AZ
  • NPI 1881413417

  Prosthodontics

  Medicare reassignment NPD Authorized official
• University Dental Health Services, Inc.

  • General Practice Dentistry
  • Pittsburgh, PA
  • NPI 1194788653

  Prosthodontics

  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1306807722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16630 W GREENWAY RD STE 319",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882189",
            "telephone_number": "623-582-9622",
            "fax_number": "623-537-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16630 W GREENWAY RD STE 319",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882189",
            "telephone_number": "623-582-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "AZFAR",
        "middle_name": "AFTAB",
        "name_prefix": "Dr.",
        "credential": "DMD.,MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS 031537-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korey Shute, PA-C
• Pamela Daly Sibeck, MA
• Christie Sibiga, AGACNP-BC
• Sherry Dawn Sic
• Constantin Siclovan, M. D.
• Jennifer Lynn Silbor, BS SLP
• Silver House Arizona LLC
• Silver House Behavioral Health PC
• Silver House Healthcare LLC
• Silver House Mental Health PC

• Prosthodontics in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.