NPIMap

Organization Active NPI

Jeffery S. Ackerman D.D.S. LTD.

  • Dentist
  • Centreville, VA
National Provider Identifier
1821287269
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4044 Issued in VA
Legal business name
JEFFERY S. ACKERMAN D.D.S. LTD.
Practice address
5701 Centre Square Dr
Centreville, VA 20120-1916
Phone
(703) 968-7022
NPI assigned
Oct 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Jeffery Sheldon Ackerman, D.D.S.M.A.G.D
Title
Owner
Phone
(703) 968-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4044 VA Primary

Addresses

Primary practice location

5701 Centre Square Dr
Centreville, VA 20120-1916

Mailing address

5502 Fireside CT
Fairfax, VA 22032-3712
Phone (703) 323-4626

National Provider Directory

National Provider Directory

Locations

5701 Centre Square Dr
Centreville, VA 20120
Phone (703) 968-7022

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1821287269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 FIRESIDE CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323712",
            "telephone_number": "703-323-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CENTRE SQUARE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-968-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY S. ACKERMAN D.D.S. LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "SHELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-968-7022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.M.A.G.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.