NPIMap

Organization Active NPI

Orthodontics Center of Novi, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Novi, MI
National Provider Identifier
1639738743
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTICS CENTER OF NOVI, PC
Practice address
27250 Wixom Rd Ste B
Novi, MI 48374-1116
Phone
(313) 565-0880
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Dr. Mamnoon SiddiquiNPI 1336225713
Title
President
Phone
(313) 565-0880

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

27250 Wixom Rd Ste B
Novi, MI 48374-1116

Mailing address

2211 Monroe St
Dearborn, MI 48124-3007
Phone (313) 565-0880

Other identifiers 1

IdentifierTypeStateIssuer
1336225713MedicaidMI

Other names 1

  • Siddiqui Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsiddiqui@aligndoc.com Direct

National Provider Directory

National Provider Directory

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": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1639738743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243007",
            "telephone_number": "313-565-0880",
            "fax_number": "313-565-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27250 WIXOM RD STE B",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741116",
            "telephone_number": "313-565-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTICS CENTER OF NOVI, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MAMNOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-565-0880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336225713",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsiddiqui@aligndoc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27250 Wixom Rd Ste B",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483741116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Siddiqui Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.