Dwayne Allen Ackerman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001203A Issued in IN

Practice address

7125 Hwy 66
Wadesville, IN 47638-0123

Phone

(812) 673-4947

Fax

(812) 673-4846

NPI assigned

Oct 12, 2006

Last updated

Apr 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ackerman Chiropractic & Fitness Center, LLC

  • Chiropractor
  • Wadesville, IN
  • NPI 1154650406
  Medicare reassignment Authorized official
• Tri-State Rehab & Welness Center, LLC

  • Physical Therapist
  • Wadesville, IN
  • NPI 1952591562
  NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1386733525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "WADESVILLE",
            "state": "IN",
            "postal_code": "476380123",
            "telephone_number": "812-673-4947",
            "fax_number": "812-673-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 HWY 66",
            "city": "WADESVILLE",
            "state": "IN",
            "postal_code": "476380123",
            "telephone_number": "812-673-4947",
            "fax_number": "812-673-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "DWAYNE",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001203A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "000000088512",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ackerman Chiropractic & Fitness Center, LLC
• Kristina Anne Bryant, NP
• Kathryn Karges
• Susan Laughbaum, ATC, LAT, CSCS
• Christopher Thomas Metz, LCSW
• Spencer Lee Shannon, DC

• Chiropractor in Wadesville, IN
• Providers in Wadesville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.