E.Smoak Ackerman PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

5469 Issued in NC

Legal business name

E.SMOAK ACKERMAN PLLC

Practice address

66 Wheaton Dr
Youngsville, NC 27596-8691

Phone

(919) 488-0233

Fax

(919) 488-0234

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Emmett Smoak Ackerman Jr., DDS

Title

President/Dentist

Phone

(919) 488-0233

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmett Smoak Ackermon Jr., DDS

  • Dentist
  • Youngsville, NC
  • NPI 1316022700
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1154503282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WHEATON DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275968691",
            "telephone_number": "919-488-0233",
            "fax_number": "919-488-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WHEATON DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275968691",
            "telephone_number": "919-488-0233",
            "fax_number": "919-488-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.SMOAK ACKERMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "EMMETT",
        "authorized_official_middle_name": "SMOAK",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "919-488-0233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL NPI #",
            "identifier": "1316022700",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990052",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Youngsville, NC
• Providers in Youngsville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.