Rudolf Akilov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

047215 Issued in NY

Practice address

645 W 207TH St
New York, NY 10034-2654

Phone

(212) 304-1666

NPI assigned

Jan 29, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Dental PC

  • Dentist
  • New York, NY
  • NPI 1770143364
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649316720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342654",
            "telephone_number": "212-304-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342654",
            "telephone_number": "212-304-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKILOV",
        "first_name": "RUDOLF",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01911595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akifa Samdani, MD PC
• Christiana Akiki
• Bisher Akil, M.D.
• Basanel Akilov
• Roman L Akilov
• Hiroko Akimoto, DDS
• Ruth Mulholland Akimoto
• Oguz Akin, MD
• Temitope Akinade, MD
• Oludayo Michael Akinboboye

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.