Siddiq Tariq Karim, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

057280 Issued in NY

Practice address

12318 103Rd Ave
South Richmond Hill, NY 11419-2106

Phone

(347) 880-4796

NPI assigned

Apr 29, 2013

Last updated

Feb 29, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• STK Dental PC

  dba Eastline Dental

  • Dentist
  • Garden City, NY
  • NPI 1518838473
  NPD Authorized official

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1477997831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12318 103RD AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192106",
            "telephone_number": "347-880-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12318 103RD AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192106",
            "telephone_number": "347-880-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIM",
        "first_name": "SIDDIQ",
        "middle_name": "TARIQ",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Bruce Kameros, D.D.S.
• Kamilla Ismailoff, MD, PC
• George Alex Kandel, O.D.
• Nikki Kang
• Janise Lydia Kangombe, LMSW
• Kaur NP Family Health PC
• Kaur Therapy Solutions, Inc
• Bhupinder Kaur, FNP, PMHNP
• Darshvir Kaur, RPA-C
• Gurjit Kaur, RN

• General Practice Dentistry in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.