Douglas B Akers,DDS,Ms,PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D1738PE Issued in ID

Legal business name

DOUGLAS B AKERS,DDS,MS,PLLC

Practice address

716 Yellowstone Ave
Pocatello, ID 83201-4407

Phone

(208) 233-3660

Fax

(208) 233-3682

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas B Akers, DDS,MSNPI 1356351993

Title

Periodontist

Phone

(208) 233-3660

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas B. Akers

  • Periodontics
  • Pocatello, ID
  • NPI 1356351993
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245324391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 SUNRISE WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832011985",
            "telephone_number": "208-233-3660",
            "fax_number": "208-233-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 YELLOWSTONE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014407",
            "telephone_number": "208-233-3660",
            "fax_number": "208-233-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS B AKERS,DDS,MS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "208-233-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "ID",
            "license": "D1738PE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035491000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Periodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.