Kenneth C Ackley II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019074 Issued in MI

Practice address

573 W Vienna St
Clio, MI 48420-5000

Phone

(810) 686-5220

NPI assigned

Jul 22, 2005

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Locations

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.

• Sleep Well Michigan PLLC

  dba Sleep Well Michigan

  • General Practice Dentistry
  • Lansing, MI
  • NPI 1568339489
  Medicare reassignment NPD Authorized official
• Racine & Ackley D.D.S., P.C.

  • Dental Clinic/Center
  • Clio, MI
  • NPI 1760851794
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1891795639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484205000",
            "telephone_number": "810-686-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484205000",
            "telephone_number": "810-686-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLEY",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Abela
• Jennifer L Adams, COTA
• Arthur Daniel Adkins II
• Affordable Dentures - Clio, P.C.
• Aftab a Aftab MDPC
• Aftab A Aftab, M.D.

• General Practice Dentistry in Clio, MI
• Providers in Clio, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.