Individual provider Active NPI

Marina A. Siddiqi, B.D.S., M.S.D., M.S.

  • Dentist
  • Cypress, TX
National Provider Identifier
1699147496
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
L959474 Issued in MI
Practice address
8020 Fry Rd # 106
Cypress, TX 77433-6130
Phone
(832) 220-4790
Fax
(832) 220-4802
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X L959474 MI Primary

Addresses

Primary practice location

8020 Fry Rd # 106
Cypress, TX 77433-6130

Mailing address

12703 Noble Fields Way
Cypress, TX 77433-6820
Phone (248) 802-9778

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L959474MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
A. M. Smiles PLLC Current Accepting new patients

Locations

8020 Fry Rd
Ste 106
Cypress, TX 77433
Phone (832) 220-4790

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1699147496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12703 NOBLE FIELDS WAY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336820",
            "telephone_number": "248-802-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 FRY RD # 106",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336130",
            "telephone_number": "832-220-4790",
            "fax_number": "832-220-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "MARINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.S.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "L959474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.