John Andrew Acker, DMD
Individual provider Active NPI Dentist · Pensacola, FL
NPI 1376701953 · NPPES record last updated Jan 19, 2009
Key facts
- NPI
- 1376701953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN11019 (FL)
- Practice address
- 4300 Bayou Blvd
Suite 11
Pensacola, FL 32503-1949 - Phone
- (850) 484-0960
- Fax
- (850) 484-9196
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729007161 | FL | Order and Referring Only - Oral Surgery |
4587978044 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN11019 | FL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN11019 | FL | Yes |
Addresses
Primary practice location
4300 Bayou Blvd
Suite 11
Pensacola, FL 32503-1949
Mailing address
4300 Bayou Blvd
Suite 11
Pensacola, FL 32503-1949
Phone (850) 484-0960
Other providers in Pensacola, FL
- Access to Care, P.a.
- Accessible Physical Therapy Inc
- Peter Richard Accorti
- Accredited Cardiovascular and Arrhythmia LLC
- Accumed Claim Solutions
- Kelly A Acker
- Acts Retirement-Life Communities
- Acts Retirement-Life Communities Inc.
- Acts Retirement-Life Communities, Inc.
- Acts Signature Community Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.