Individual provider Active NPI

Aisha Marie Akpabio, DDS

  • Dentist
  • Pasadena, CA
National Provider Identifier
1497049316
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056361 Issued in NY
Practice address
1855 N Fair Oaks Ave
Suite G100
Pasadena, CA 91103-1620
Phone
(626) 398-6300
Fax
(626) 993-1288
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056361 NY Primary

Addresses

Primary practice location

1855 N Fair Oaks Ave
Suite G100
Pasadena, CA 91103-1620

Mailing address

455 W Montana St
Administrative Offices
Pasadena, CA 91103-1327
Phone (626) 398-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160223000558 CA Order and Referring Only - DentistPractitioner - Dentist 6103121561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056361NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1497049316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W MONTANA ST",
            "address_2": "ADMINISTRATIVE OFFICES",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031327",
            "telephone_number": "626-398-6300",
            "fax_number": "626-993-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N FAIR OAKS AVE",
            "address_2": "SUITE G100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031620",
            "telephone_number": "626-398-6300",
            "fax_number": "626-993-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKPABIO",
        "first_name": "AISHA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.