AZFAR SIDDIQUI DMD PLLC
NPI 1881413417
Dentist - Orofacial Pain in Surprise, AZ

Active since October 09, 2024
16630 W GREENWAY RD STE 319, SURPRISE, AZ 85388(623) 582-9622 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Azfar Siddiqui Dmd Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZFAR SIDDIQUI DMD PLLC (NPI 1881413417) is a healthcare organization registered as an orofacial pain in Surprise, Arizona and active in the NPI registry since October 2024. The organization lists Azfar Siddiqui, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1881413417
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameAZFAR SIDDIQUI DMD PLLC
Location Address16630 W GREENWAY RD STE 319Surprise, AZ 85388-2189
Mailing Address7012 W Firebird DrGlendale, AZ 85308-9424 · (623) 225-8968
Organization SubpartNo
Authorized OfficialAzfar SiddiquiOwner/provider · (623) 582-9622
Enumeration DateOctober 9, 2024
Last NPPES UpdateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
✔ NPI 1881413417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
16630 W GREENWAY RD STE 319, Surprise, AZ 85388

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azfar Siddiqui Dmd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Azfar Siddiqui Dmd PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1306807722
16630 W GREENWAY RD STE 319
Surprise, AZ 85388
(623) 582-9622
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azfar Siddiqui Dmd PLLC's NPI number?

The NPI number for Azfar Siddiqui Dmd PLLC is 1881413417. It was assigned to this organization in the NPPES registry on October 9, 2024.

Where is Azfar Siddiqui Dmd PLLC located?

Azfar Siddiqui Dmd PLLC is located at 16630 W Greenway Rd Ste 319, Surprise, AZ 85388. The listed phone number is (623) 582-9622.

What is Azfar Siddiqui Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Azfar Siddiqui Dmd PLLC enrolled in Medicare?

Yes. Azfar Siddiqui Dmd PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azfar Siddiqui Dmd PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Azfar Siddiqui Dmd PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Azfar Siddiqui Dmd PLLC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.