Kenneth C. Ackley, D.D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KENNETH C. ACKLEY, D.D.S.

Practice address

6452 Millennium Ste 110
Lansing, MI 48917-7881

Phone

(517) 323-0922

Fax

(517) 323-9006

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen M. Moore

Title

Financial Coordinator

Phone

(810) 334-0683

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1528736113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 MILLENNIUM STE 110",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489177881",
            "telephone_number": "517-323-0922",
            "fax_number": "517-323-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 MILLENNIUM STE 110",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489177881",
            "telephone_number": "517-323-0922",
            "fax_number": "517-323-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. ACKLEY, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "810-334-0683",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace P Kempter, DPT
• Ken Holmberg LLC
• Megan M Kendrick, LMSW
• Dana Beth Kennedy, NP-C
• Paul R Kennedy, OD
• Jeremiah Kenney, RN
• Ryan Kenney, M.D
• Chamara Love Kenno
• Anessa Kent-Johnson, LLMSW
• Karen A Kent, MD

• Dental Clinic/Center in Lansing, MI
• Providers in Lansing, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.