Individual provider Active NPI

Ayman Haroun, DMD

  • General Practice Dentistry
  • Clarksville, TN
National Provider Identifier
1487151114
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11446 Issued in TN
Practice address
1466 Tiny Town Rd Ste a
Clarksville, TN 37042-8292
Phone
(931) 548-0119
NPI assigned
Apr 9, 2018
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10121 KY
General Practice Dentistry 1223G0001X 11446 TN Primary

Addresses

Primary practice location

1466 Tiny Town Rd Ste a
Clarksville, TN 37042-8292

Mailing address

1466 Tiny Town Rd Ste a
Clarksville, TN 37042-8292
Phone (931) 548-0119

Other practice location 1

740 S Limestone St Room A262
Lexington, KY 40536-0001
Phone (859) 323-6723

Other practice location 2

2115 Rocky Dr
Paris, KY 40361
Phone (859) 987-3290

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
10121KYMDGeneral Practice Dentistry
11446TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates PSC General Practice PastSince Jul 28, 2019 Accepting new patients
Tiny Town Smiles Dentistry, PC PastSince Oct 19, 2020 Accepting new patients

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1487151114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 TINY TOWN RD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428292",
            "telephone_number": "931-548-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 TINY TOWN RD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428292",
            "telephone_number": "931-548-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone St Room A262",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-6723",
            "fax_number": "859-323-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Rocky Dr",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "40361",
            "country_code": "US",
            "telephone_number": "859-987-3290",
            "fax_number": "859-987-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAROUN",
        "first_name": "AYMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10121",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.