Active NPI
Karen M. Ackerman, D.P.M., P.a.
- Podiatrist
- Dodge City, KS
National Provider Identifier
1093984197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 12-00286
- Legal business name
- KAREN M. ACKERMAN, D.P.M., P.A.
- Practice address
- 2300 N 14TH Ave Ste 100a
Dodge City, KS 67801-2367 - Phone
- (620) 225-7829
- Fax
- (620) 225-4827
- NPI assigned
- Feb 22, 2008
- Last updated
- Jul 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen M Ackerman, D.P.M.
- Title
- Owner/Podiatrist
- Phone
- (620) 225-7829
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 12-00286 | KS | Primary |
Addresses
Primary practice location
2300 N 14TH Ave Ste 100a
Dodge City, KS 67801-2367
Mailing address
2300 N 14TH Ave Ste 100a
Dodge City, KS 67801-2367
Phone (620) 225-7829
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480026013 | Other | RAILROAD MEDICARE | |
| 114024 | Other | KS | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2300 N 14th Ave
Ste 100A
Dodge City, KS 67801
Phone (316) 225-7829
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Dodge City, KS
- NPI 1669495776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247702400000",
"number": "1093984197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 N 14TH AVE STE 100A",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012367",
"telephone_number": "620-225-7829",
"fax_number": "620-225-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N 14TH AVE STE 100A",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012367",
"telephone_number": "620-225-7829",
"fax_number": "620-225-4827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN M. ACKERMAN, D.P.M., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-22",
"last_updated": "2009-07-16",
"status": "A",
"authorized_official_last_name": "ACKERMAN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PODIATRIST",
"authorized_official_telephone_number": "620-225-7829",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "KS",
"license": "12-00286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480026013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "114024",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.