Active NPI
Salim Mohammad Aqil, D.D.S.
- Oral and Maxillofacial Radiology Dentistry
- Bremerton, WA
National Provider Identifier
1942432190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 59874
- Practice address
- 1 Boone Rd
Bremerton, WA 98312 - Phone
- (360) 475-4806
- NPI assigned
- Aug 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 59874 | CA | Primary |
Addresses
Primary practice location
1 Boone Rd
Bremerton, WA 98312
Mailing address
6540 Reflection Dr
Unit # 1227
San Diego, CA 92124-5119
Phone (714) 926-8322
Other practice location 1
6540 Reflection Dr
Unit # 1227
San Diego, CA 92124-5119
Phone (714) 926-8322
Other practice location 2
5045 Mariner St
Gig Harbor, WA 98332-5503
Phone (714) 926-8322
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59874 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1942432190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6540 REFLECTION DR",
"address_2": "UNIT # 1227",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921245119",
"telephone_number": "714-926-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOONE RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98312",
"telephone_number": "360-475-4806"
}
],
"practiceLocations": [
{
"address_1": "6540 Reflection Dr",
"address_2": "Unit # 1227",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921245119",
"country_code": "US",
"telephone_number": "714-926-8322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5045 Mariner St",
"address_purpose": "LOCATION",
"city": "Gig Harbor",
"state": "WA",
"postal_code": "983325503",
"country_code": "US",
"telephone_number": "714-926-8322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AQIL",
"first_name": "SALIM",
"middle_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "CA",
"license": "59874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.