Daniel Bryan Ackerman, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D-5067 Issued in ID

Practice address

10200 W Emerald St Ste 105
Boise, ID 83704-8900

Phone

(208) 376-7954

Fax

(208) 323-4859

NPI assigned

Jul 26, 2019

Last updated

Jul 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Quality Family Dentistry

  • Dentist
  • Boise, ID
  • NPI 1033379177
  NPD (past)
• Sanders Dental PLLC

  • General Practice Dentistry
  • Boise, ID
  • NPI 1386586568
  NPD (past)

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1093369241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W EMERALD ST STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048900",
            "telephone_number": "208-376-7954",
            "fax_number": "208-323-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W EMERALD ST STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048900",
            "telephone_number": "208-376-7954",
            "fax_number": "208-323-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "DANIEL",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-5067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashmita Acharya
• Teresa Acheson, CPM, LM
• Achieve Physical Therapy PLLC
• Achieve, LLC
• Acjcs
• Jerrod Ackerman
• Robert Ackerman, D.D.S.
• Aaron Ackerson, ACNPC-AG
• Matthew Ryan Ackley, PMHNP
• Nicole Lynn Ackley, PHYSICIAN ASSISTANT

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.