Individual provider Active NPI

Salim Mohammad Aqil, D.D.S.

  • Oral and Maxillofacial Radiology Dentistry
  • Bremerton, WA
National Provider Identifier
1942432190
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
59874 Issued in CA
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

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
59874CAMDPharmacist

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.

Verify at the official NPI Registry.