Active NPI
Shutong Zhan Akmal, DMD
- General Practice Dentistry
- Arlington, VA
National Provider Identifier
1851813430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12014940A
- Practice address
- 3400 S Clark St Ste 105
Arlington, VA 22202-4050 - Phone
- (703) 263-8009
- Fax
- (571) 263-8009
- NPI assigned
- Jul 14, 2017
- Last updated
- Jul 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN1001750 | DC | |
| General Practice Dentistry | 1223G0001X | 0401415837 | VA | |
| General Practice Dentistry | 1223G0001X | 12014940A | IN | Primary |
Addresses
Primary practice location
3400 S Clark St Ste 105
Arlington, VA 22202-4050
Mailing address
3321 Treviso CV
Fort Wayne, IN 46814-8242
Phone (828) 719-5723
Other practice location 1
4616 W Jefferson Blvd
Fort Wayne, IN 46804-6826
Phone (260) 432-8414
Other names 1
- Shutong Hartsell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170908000867 | DC | Order and Referring Only - Dentist | 2264705565 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1001750 | DC | MD | General Practice Dentistry |
| 12014940A | IN | MD | General Practice Dentistry |
| 0401415837 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Dental, PLLC | General Practice | Current | Accepting new patients |
| Jungwon Roh, DDS, PLLC | General Practice | Past | Accepting new patients |
| Shutong Akmal, DMD, LLC | Past | Accepting new patients |
Locations
3400 S Clark St
Ste 105
Arlington, VA 22202
Phone (703) 263-8009
Organizations & group practices 3
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.
-
dba Jefferson Point Dental
- Dental Clinic/Center
- Fort Wayne, IN
- NPI 1336061191
-
- General Practice Dentistry
- Arlington, VA
- NPI 1093466583
-
- General Practice Dentistry
- Arlington, VA
- NPI 1013851559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784937600000",
"number": "1851813430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3321 TREVISO CV",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468148242",
"telephone_number": "828-719-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 S CLARK ST STE 105",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222024050",
"telephone_number": "703-263-8009",
"fax_number": "571-263-8009"
}
],
"practiceLocations": [
{
"address_1": "4616 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468046826",
"country_code": "US",
"telephone_number": "260-432-8414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKMAL",
"first_name": "SHUTONG",
"middle_name": "ZHAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2026-07-25",
"certification_date": "2026-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN1001750",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401415837",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12014940A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHUTONG",
"last_name": "HARTSELL",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.