Organization Active NPI

Ackerman & Associates of Alexandria, DDS, LLC

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1639405558
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
401004044 Issued in VA
Legal business name
ACKERMAN & ASSOCIATES OF ALEXANDRIA, DDS, LLC
Practice address
5055 Seminary Rd
Suite 105
Alexandria, VA 22311-2034
Phone
(703) 931-0200
Fax
(703) 931-0209
NPI assigned
Oct 28, 2009
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. Jeffery S Ackerman
Title
Owner/ Dentist
Phone
(703) 931-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007743 VA
General Practice Dentistry 1223G0001X 401004044 VA Primary

Addresses

Primary practice location

5055 Seminary Rd
Suite 105
Alexandria, VA 22311-2034

Mailing address

5055 Seminary Rd
Suite 105
Alexandria, VA 22311-2034
Phone (703) 931-0200

National Provider Directory

National Provider Directory

Locations

5055 Seminary Rd
Ste 105
Alexandria, VA 22311
Phone (703) 931-0200

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1639405558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 SEMINARY RD",
            "address_2": "SUITE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112034",
            "telephone_number": "703-931-0200",
            "fax_number": "703-931-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 SEMINARY RD",
            "address_2": "SUITE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112034",
            "telephone_number": "703-931-0200",
            "fax_number": "703-931-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKERMAN & ASSOCIATES OF ALEXANDRIA, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "703-931-0200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007743",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "401004044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.