Active NPI
Elias Haralambakis, D.D.S.
- General Practice Dentistry
- Lillington, NC
National Provider Identifier
1306047832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7135
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899019W | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160606001317 | NC | Order and Referring Only - Dentist | 1153611041 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7135 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates VI DDS PA | General Practice | Past | Accepting new patients |
| Lane and Associates XII DDS PA | General Practice | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Raleigh, NC
- NPI 1275819708
General Practice
-
- General Practice Dentistry
- Raleigh, NC
- NPI 1811041700
General Practice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.