Active NPI
Fatima Noorain Siraj, DMD
- Dentist
- Tishomingo, OK
National Provider Identifier
1487038329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8147
- Practice address
- 610 E 24TH St
Tishomingo, OK 73460-3245 - Phone
- (580) 371-2343
- Fax
- (580) 371-3614
- NPI assigned
- Jul 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8147 | OK | Primary |
Addresses
Primary practice location
610 E 24TH St
Tishomingo, OK 73460-3245
Mailing address
610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 371-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8147 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1487038329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E 24TH ST",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "734603245",
"telephone_number": "580-371-2343",
"fax_number": "580-371-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E 24TH ST",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "734603245",
"telephone_number": "580-371-2343",
"fax_number": "580-371-3614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRAJ",
"first_name": "FATIMA",
"middle_name": "NOORAIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "8147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tishomingo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.