Active NPI
Dave S Akkerman, MD
- Family Medicine Physician
- Fargo, ND
National Provider Identifier
1912936329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5531
- Practice address
- 3902 13TH Ave S
Fargo, ND 58103-3357 - Phone
- (701) 364-6600
- Fax
- (701) 364-6628
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5531 | ND | Primary |
Addresses
Primary practice location
3902 13TH Ave S
Fargo, ND 58103-3357
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Phone (701) 364-3300
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108129 | Other | ND | MEDICA # |
| 0108610 | Other | ND | MEDICA # |
| 79919AK | Other | ND | MNBS # |
| 15741 | Medicaid | ND | |
| 10363 | Other | ND | NDBS # |
| 141991 | Other | ND | UCARE # |
| ND100028 | Other | ND | LHS # |
| 30Q41AK | Other | ND | MNBS # |
| 8633 | Other | ND | SIOUX VALLEY # |
| 28726AK | Other | ND | MNBS # |
| 676540 | Other | ND | AMERICA'S PPO/ARAZ # |
| HP19474 | Other | ND | HEALTHPARTNERS # |
| 0105959 | Other | ND | MEDICA # |
| 221888700 | Medicaid | ND | |
| 79920AK | Other | ND | MNBS # |
| DA9011015639 | Other | ND | PREFERRED ONE # |
Other names 1
- David S Akkerman
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1912936329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6001",
"city": "FARGO",
"state": "ND",
"postal_code": "581086001",
"telephone_number": "701-364-3300",
"fax_number": "701-364-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 13TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581033357",
"telephone_number": "701-364-6600",
"fax_number": "701-364-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKKERMAN",
"first_name": "DAVE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "5531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "0108129",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "0108610",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "79919AK",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15741",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBS #",
"identifier": "10363",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE #",
"identifier": "141991",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LHS #",
"identifier": "ND100028",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "30Q41AK",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY #",
"identifier": "8633",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "28726AK",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO/ARAZ #",
"identifier": "676540",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS #",
"identifier": "HP19474",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "0105959",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221888700",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "79920AK",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE #",
"identifier": "DA9011015639",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "AKKERMAN",
"middle_name": "S",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.