Active NPI
Abubaker Siddig
- Private Vehicle
- Charlotte, NC
National Provider Identifier
1568279396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 2608 Allen Rd S
Charlotte, NC 28269-4606 - Phone
- (704) 488-3159
- NPI assigned
- Dec 16, 2024
- Last updated
- Dec 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | |||
| Private Vehicle | 347C00000X | NC | Primary |
Addresses
Primary practice location
2608 Allen Rd S
Charlotte, NC 28269-4606
Mailing address
2608 Allen Rd S
Charlotte, NC 28269-4606
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1568279396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 ALLEN RD S",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282694606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 ALLEN RD S",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282694606",
"telephone_number": "704-488-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIG",
"first_name": "ABUBAKER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Harry E Sibold, M.D.
- Kristen Ann Sibson, MD
- Michael W Sicard, M.D.
- Erin Parsons Siceloff, PA-C
- Sickle Cell Disease Assoc. Southern Piedmont, Inc. (Sickle Cell Regional Network)
- Huma Jabeen Siddiqui, M.D.,
- Side by Side Senior Services LLC
- Krista K. Sidell, NP
- Jaskiran Kaur Sidhu
- Rebecca Marie Sidlovsky, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.