Active NPI
Amy Ackley, D.M.D.
- Dentist
- Spring Hill, FL
National Provider Identifier
1851732325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20121
- Practice address
- 1530 Pinehurst Dr
Spring Hill, FL 34606-4555 - Phone
- (352) 683-7668
- Fax
- (352) 666-1148
- NPI assigned
- Jul 12, 2013
- Last updated
- Jul 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20121 | FL | Primary |
Addresses
Primary practice location
1530 Pinehurst Dr
Spring Hill, FL 34606-4555
Mailing address
1530 Pinehurst Dr
Spring Hill, FL 34606-4555
Phone (352) 683-7668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150908001127 | FL | Order and Referring Only - Dentist | 3173839073 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20121 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1851732325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 PINEHURST DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064555",
"telephone_number": "352-683-7668",
"fax_number": "352-666-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 PINEHURST DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064555",
"telephone_number": "352-683-7668",
"fax_number": "352-666-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKLEY",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN20121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
- Access Walk-in and Injury Center LLC (Access Spine & Injury)
- Accessmd Plus, Inc.
- Accuhear, Inc.
- Maria Andrada Achim
- Ackley, Ackley, & Wise, DMD PA
- Eva F Ackley, D.M.D.
- Kelly Nedimyer Ackley, D.M.D.
- Rodney S. Ackley, D.M.D.
- Acl. Divine Quality Home Health Agency Inc.
- Action Potential LLC (Fyzical Therapy & Balance Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.