Individual provider Active NPI

Salem Akkad, DDS, MS

  • Dentist
  • Arlington, TX
National Provider Identifier
1427206408
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24010 Issued in TX
Practice address
4515 Matlock Rd Ste 117
Arlington, TX 76018-5663
Phone
(855) 847-3311
Fax
(817) 717-6311
NPI assigned
Sep 3, 2008
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24010 TX Primary

Addresses

Primary practice location

4515 Matlock Rd Ste 117
Arlington, TX 76018-5663

Mailing address

4515 Matlock Rd Ste 117
Arlington, TX 76018-5663
Phone (855) 847-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141219000514 TX Practitioner - DentistPractitioner - Oral Surgery 7012150014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7354
Phone (469) 685-1700

4515 Matlock Rd
Arlington, TX 76018-5662
Phone (855) 847-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24010TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Comprehensive Dental Care PA CurrentSince Jul 31, 2008 Accepting new patients
Sleep and Snoring Services Inc CurrentSince Apr 9, 2019 Accepting new patients

Locations

4515 Matlock Rd
Ste 117
Arlington, TX 76018
Phone (855) 847-3311

17480 Dallas Pkwy
Ste 125
Dallas, TX 75287
Phone (469) 685-1700

Interoperability endpoints

  • Direct secure messaging: advancecomprehensivedental.salemakkad@145724.advancedmd-direct.com
  • Direct secure messaging: simplesleepservices.salemakkad@145722.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1427206408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MATLOCK RD STE 117",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185663",
            "telephone_number": "855-847-3311",
            "fax_number": "817-717-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MATLOCK RD STE 117",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185663",
            "telephone_number": "855-847-3311",
            "fax_number": "817-717-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKKAD",
        "first_name": "SALEM",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.