Individual provider Active NPI

Aaron Akhavan, DMD

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1144888520
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
061440 Issued in NY
Practice address
5309 18TH Ave
Brooklyn, NY 11204-1523
Phone
(718) 473-0960
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 061440 NY
Pediatric Dentistry 1223P0221X 061440 NY Primary

Addresses

Primary practice location

5309 18TH Ave
Brooklyn, NY 11204-1523

Mailing address

1020 E 14TH St
Brooklyn, NY 11230-4302
Phone (516) 582-6731

Other practice location 1

31 Frost Ln
Lawrence, NY 11559-1808
Phone (516) 295-1155

Other practice location 2

390 Berry St Ste B
Brooklyn, NY 11249-6086
Phone (718) 218-7210

Other practice location 3

701 N Broadway
Sleepy Hollow, NY 10591-1096
Phone (914) 366-1138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
061440NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Pediatric Dentistry PLLC Pediatric Dentistry PastSince Nov 21, 2021 Accepting new patients
Jonathan S. Waltner DDS PC Pediatric Dentistry PastSince Aug 2, 2020 Accepting new patients
Nathaniel Wieder, DMD, P.C. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1144888520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304302",
            "telephone_number": "516-582-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-473-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Frost Ln",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "NY",
            "postal_code": "115591808",
            "country_code": "US",
            "telephone_number": "516-295-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 Berry St Ste B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112496086",
            "country_code": "US",
            "telephone_number": "718-218-7210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Sleepy Hollow",
            "state": "NY",
            "postal_code": "105911096",
            "country_code": "US",
            "telephone_number": "914-366-1138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKHAVAN",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061440",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.