Azfar Siddiqui DMD PLLC

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

Legal business name

AZFAR SIDDIQUI DMD PLLC

Practice address

16630 W Greenway Rd Ste 319
Surprise, AZ 85388-2189

Phone

(623) 582-9622

NPI assigned

Oct 9, 2024

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Azfar Siddiqui, DMDNPI 1306807722

Title

Owner/Provider

Phone

(623) 582-9622

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azfar Aftab Siddiqui, DMD.,MSC

  • Prosthodontics
  • Surprise, AZ
  • NPI 1306807722
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1881413417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 W FIREBIRD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089424",
            "telephone_number": "623-225-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16630 W GREENWAY RD STE 319",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882189",
            "telephone_number": "623-582-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZFAR SIDDIQUI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "AZFAR",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "623-582-9622",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orofacial Pain Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Orofacial Pain Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.