Individual provider Active NPI

Sameh Aknouk, D.D.S.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1689787947
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041157 Issued in NY
Practice address
1473 West Ave
Bronx, NY 10462-7304
Phone
(718) 824-5444
Fax
(718) 824-1274
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041157 NY Primary

Addresses

Primary practice location

1473 West Ave
Bronx, NY 10462-7304

Mailing address

1 Alley Pond CT
Huntington Station, NY 11746-5874

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160302001855 NY Order and Referring Only - DentistPractitioner - Dentist 5193021012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689787947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALLEY POND CT",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117465874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 WEST AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627304",
            "telephone_number": "718-824-5444",
            "fax_number": "718-824-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKNOUK",
        "first_name": "SAMEH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.