Regan Wiesemann Ackerman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8470 Issued in KY

Practice address

7600 Outer Loop
Louisville, KY 40228-1729

Phone

(502) 231-9970

NPI assigned

Jun 18, 2007

Last updated

Jan 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Sally R. Willis, PSC

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1710052998
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327795200000",
    "number": "1871798173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281729",
            "telephone_number": "502-231-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281729",
            "telephone_number": "502-231-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "REGAN",
        "middle_name": "WIESEMANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2012-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID FOR MORTENSON FAMILY DENTAL  (EMPLOYMENT ENDED 1/31/12)",
            "identifier": "208018897",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS TAX ID FOR ACKERMAN FAMILY DENTAL",
            "identifier": "454214024",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Achillies Foot and Ankle Center Inc
• Lachelle Achterberg, APRN
• Angela Risser Ackerman, RPH
• Anna Ackerman, APN
• Demetria Dolores Ackerman, OTR
• Douglas M Ackermann, MD
• Julie A Ackley
• Korie Dunhoft Acord, DMD
• Timothy Scott Acord, D.D.S.
• Monica Guadalupe Acosta, D.O.

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.

Verify at the official NPI Registry.