Omar Aiman Akileh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11541 Issued in OR

Practice address

215 Curtis Ave
Coos Bay, OR 97420-1619

Phone

(541) 837-1672

NPI assigned

Aug 10, 2021

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1114692381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 SW 170TH AVE APT 2209",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970038614",
            "telephone_number": "407-592-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CURTIS AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201619",
            "telephone_number": "541-837-1672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5935 SE Alexander St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971238575",
            "country_code": "US",
            "telephone_number": "855-433-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKILEH",
        "first_name": "OMAR",
        "middle_name": "AIMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aceso Medical Clinic LLC
• Austin Adams
• Katie April Adams, PMHNP
• James Thomas Agee, R.PH.
• Hasan Akhtar, MD
• Alan Liesinger DMD PC
• Mark Albert, P.T.
• Samir Bir Ale, MD
• Samuel Haskin Aley, MS
• Tamara Sue Aley

• General Practice Dentistry in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.