DR. M SHOAIB HAIDER SIDDIQUI (NPI# 1326695438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326695438 |
| Entity Type | Individual |
| Full Name | DR. M SHOAIB HAIDER SIDDIQUI |
| Credential | BDS, MSD |
| Practice Address |
Issaquah Modern Dentistry 1416 Highlands Drie Ne, Suite 120 Issaquah WA 98029 |
| Mailing Address |
3500 E Lake Sammamish Parkway Se Unit 2-105 Sammamish WA 98075 |
| Practice Telephone | 4255579000 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DENT.DE.60936928 | WA | Dental Providers |
| Street Address |
ISSAQUAH MODERN DENTISTRY 1416 HIGHLANDS DRIE NE, SUITE 120 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| 1093030843 | Surgical Assisting Services Rnfa | Nursing Care | 1945 16th Lane Ne, Issaquah, WA 98029 | 2010-04-05 |
| Find all providers in zip 98029 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659724292 | Kristi R. Donley, D.d.s., Pllc | Dentist | 1105 12th Ave Nw, Ste #a-1a, Issaquah, WA 98027-8986 | 2016-07-19 |
| 1134434475 | Nima Dejbod | Dentist | 600 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2445 | 2010-08-11 |
| 1558429399 | Randy L Ball | Dentist | 775 Nw Gilman Blvd, Issaquah, WA 98027-5374 | 2006-12-05 |
| 1497844344 | Kristi Rose Donley | Dentist | 1105 12th Ave Nw Ste A1a, Issaquah, WA 98027-8994 | 2006-10-11 |
| 1255842274 | Evergreen Endodontics Pllc | Dentist | 600 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2445 | 2017-10-17 |
| 1174606784 | Willis P Gabel | Dentist | 22500 Se 64th Pl, Suite 110, Issaquah, WA 98027-8111 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403936 | Olsson & Niazi Pllc | Dentist | 3212 Nw Byron St Ste 108, Silverdale, WA 98383-9154 | 2020-09-23 |
| 1003432709 | Ralph Donald Hawkins | Dentist | 14921 182nd Ave E, Bonney Lake, WA 98391-8240 | 2020-06-18 |
| 1558854844 | Hintz, Olaru, & Penberthy, Dds, Pllc | Dentist | 823 W 7th Ave Ste 202, Spokane, WA 99204-2850 | 2018-06-11 |
| 1316447758 | 3d Endodontics | Dentist | 451 Duvall Ave Ne Ste 120, Renton, WA 98059-4675 | 2018-02-12 |
| 1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
| 1679099246 | Randy L Ball Pllc | Dentist | 336 228th Ave Ne Ste 201, Sammamish, WA 98074-7290 | 2017-08-16 |
| 1104348739 | Roshanak Baghai, Pllc | Dentist | 1340 8th St Ne Ste 102, Auburn, WA 98002-4700 | 2017-07-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1316494537 | Dr. Timothy L Sweatman Dds Ps | Dentist | 775 E Holland Ave Ste 202, Spokane, WA 99218-5016 | 2016-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.