Active NPI
Wilson Herbert Ackerman, DMD
- Dentist
- Greenwood, SC
National Provider Identifier
1225324080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7021
- Practice address
- 342 Calhoun Ave
Greenwood, SC 29649-2011 - Phone
- (864) 229-7979
- Fax
- (864) 943-1189
- NPI assigned
- Jun 21, 2011
- Last updated
- Jun 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7021 | SC | Primary |
Addresses
Primary practice location
342 Calhoun Ave
Greenwood, SC 29649-2011
Mailing address
342 Calhoun Ave
Greenwood, SC 29649-2011
Phone (864) 229-7979
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 |
|---|---|---|---|
| 7021 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steve M. Ackerman and William Gray Ackerman, PTR | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Greenwood, SC
- NPI 1235307562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1225324080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 CALHOUN AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296492011",
"telephone_number": "864-229-7979",
"fax_number": "864-943-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 CALHOUN AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296492011",
"telephone_number": "864-229-7979",
"fax_number": "864-943-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "WILSON",
"middle_name": "HERBERT",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "7021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
- Above and Beyond Healthcare
- Tinu Abraham, MD
- Acceptance in Abundance LLC
- Steve M Ackerman, D.M.D.
- William Gray Ackerman, D.M.D.
- Active Family Chiropractic LLC
- Active SC One, Inc. (Active Day of Greenwood)
- Active SC Pca, Inc. (Active Nursing Services of Greenwood)
- Chandler Balentine Adams, PA-C
- Francis Wates Adams Jr., D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.