Individual provider Active NPI

Elias Haralambakis, D.D.S.

  • General Practice Dentistry
  • Lillington, NC
National Provider Identifier
1306047832
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7135 Issued in NC
Practice address
19 E Front St
Box 2227
Lillington, NC 27546-6682
Phone
(910) 814-2944
Fax
(910) 893-6815
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7135 NC Primary

Addresses

Primary practice location

19 E Front St
Box 2227
Lillington, NC 27546-6682

Mailing address

4814 Six Forks Rd
Suite 102
Raleigh, NC 27609-5246
Phone (919) 783-5550

Other identifiers 1

IdentifierTypeStateIssuer
899019WMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606001317 NC Order and Referring Only - DentistPractitioner - Dentist 1153611041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7135NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates VI DDS PA General Practice PastSince Aug 13, 2023 Accepting new patients
Lane and Associates XII DDS PA General Practice PastSince Dec 3, 2023 Accepting new patients
Lane & Associates Xxi, DDS PA General Practice 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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1306047832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 SIX FORKS RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095246",
            "telephone_number": "919-783-5550",
            "fax_number": "919-791-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E FRONT ST",
            "address_2": "BOX 2227",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466682",
            "telephone_number": "910-814-2944",
            "fax_number": "910-893-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARALAMBAKIS",
        "first_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899019W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.