Active NPI
Harout James Akmakjian, DMD
- General Practice Dentistry
- Long Grove, IL
National Provider Identifier
1174043376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.031202
- Practice address
- 4160 RFD
Long Grove, IL 60047-9583 - Phone
- (847) 634-0808
- NPI assigned
- Jun 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031202 | IL | MD | General Practice Dentistry |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.031202 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4160 RFD
Long Grove, IL 60047-9583
Mailing address
4768 Wellington Dr
Long Grove, IL 60047-5223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2017.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1174043376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4768 WELLINGTON DR",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600475223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 RFD",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600479583",
"telephone_number": "847-634-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKMAKJIAN",
"first_name": "HAROUT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.031202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.