Individual provider Active NPI

Skylar Ackerman, DDS

  • General Practice Dentistry
  • Lakeville, MN
National Provider Identifier
1649101643
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15454 Issued in MN
Practice address
16138 Pilot Knob Rd
Lakeville, MN 55044-4105
Phone
(952) 248-4674
NPI assigned
May 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D15454 MN Primary

Addresses

Primary practice location

16138 Pilot Knob Rd
Lakeville, MN 55044-4105

Mailing address

16138 Pilot Knob Rd
Lakeville, MN 55044-4105
Phone (952) 248-4674

Other practice location 1

4555 Erin Dr Ste 180
Eagan, MN 55122-3334
Phone (651) 565-6863

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

LicenseStateTypeSpecialty
D15454MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1649101643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16138 PILOT KNOB RD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444105",
            "telephone_number": "952-248-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16138 PILOT KNOB RD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444105",
            "telephone_number": "952-248-4674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4555 Erin Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551223334",
            "country_code": "US",
            "telephone_number": "651-565-6863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "SKYLAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.