Individual Healthcare Provider
Mariam Tahir Siddiqui, BDS, MS
Provider's NPPES record last updated: March 28, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1912585126
- Primary Specialty
- Dentist — Orofacial Pain
- Practice Location
- Ann Arbor, Michigan
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:44 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Orofacial Pain
Dental Providers
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.
Taxonomy code 1223X2210X Dentist
Oral and Maxillofacial Surgery
Dental Providers
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Taxonomy code 1223S0112X
Provider-Reported License Information
- Dentist (Michigan)
- 2952000810
- Dentist (Minnesota)
- S-167
- Dentist (Michigan)
- 2952000810
- Dentist (Minnesota)
- S167
Practice Locations
Practice Location
1500 E Medical Center Dr
Ann Arbor, Michigan 48109-5000
Phone: (763) 936-3940
Additional Practice Location
1405 Lilac Lane Drive North
Suite 150 K
Golden Valley, Minnesota 55422-4536
Phone: (763) 762-6549
Fax: (763) 762-6573
Record Information
- Enumeration Date
- March 30, 2021
- Provider's NPPES Record Last Updated
- March 28, 2023
- Certification Date
- March 28, 2023
- NPISignal NPPES Dataset
- August 2026
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