Osama Mohammad Siddiqui, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36318 Issued in TX

Practice address

670 W Campbell Rd Ste 150
Richardson, TX 75080-3398

Phone

(469) 781-0231

Fax

(469) 649-0354

NPI assigned

Jul 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Pecan Dental and Implant Solutions LLC

  • Dentist
  • Richardson, TX
  • NPI 1578148201
  NPD Authorized official
• Phoenix Smiles, PLLC

  • General Practice Dentistry
  • Arlington, TX
  • NPI 1518745488
  NPD Authorized official
• Lavon Dental and Implant Center PLLC

  • General Practice Dentistry
  • Lavon, TX
  • NPI 1366969420
  NPD (past)
• Pure Dental and Implant Center, PLLC

  • Dentist
  • Garland, TX
  • NPI 1205382652
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1811506876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W CAMPBELL RD STE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803398",
            "telephone_number": "699-427-2224",
            "fax_number": "469-649-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W CAMPBELL RD STE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803398",
            "telephone_number": "469-781-0231",
            "fax_number": "469-649-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "OSAMA",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36318",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shrine Home Health Care LLC
• Savannah Shugart
• Tommy B Shultz, DDS
• Ellis Shwarts, D.D.S.
• Mark McAdams Sibley, DDS
• Rolando Sidney
• Alexandra Brianne Siluk, MS CCC-SLP
• Isabella Silva
• Randall Carl Silvagni, D.C.
• Silver Safe LLC

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.