Asad Aftab Siddiqi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13415 Issued in NC

Practice address

955 N Wesleyan Blvd
Rocky Mount, NC 27804-1786

Phone

(252) 316-3138

NPI assigned

May 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Spouh DDS Rocky Mount PC

  • General Practice Dentistry
  • Rocky Mount, NC
  • NPI 1790501286
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1740929561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N WESLEYAN BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041786",
            "telephone_number": "252-316-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N WESLEYAN BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041786",
            "telephone_number": "252-316-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4071 Lee Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441282173",
            "country_code": "US",
            "telephone_number": "216-861-6200",
            "fax_number": "216-363-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "ASAD",
        "middle_name": "AFTAB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13415",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.004467",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "RES.004467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Raynelle Shelley, RD, LD, CDE, BC-ADM
• Willard N Shepherd, O.D.
• Brittney Sherriod, RBT
• Shiloh Child and Adolescent Day Treatment Services, LLC
• Gerrie Michelle Shiver, MD
• Michael Sieracki, PA-C
• Wilmont Luther Sigmon, M.D.
• Mindy Rene Silcott
• Sierra Silva, SLP
• Silvercare Solutions LLC

• General Practice Dentistry in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.