Individual provider Active NPI

Harout James Akmakjian, DMD

  • General Practice Dentistry
  • Long Grove, IL
National Provider Identifier
1174043376
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.031202 Issued in IL
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

LicenseStateTypeSpecialty
019.031202ILMDGeneral Practice Dentistry

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.031202 IL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.