NPIMap

Organization Active NPI

Richard J. Ackerman, Jr. D.D.S.,M.S.,P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dodge City, KS
National Provider Identifier
1982879664
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4382 Issued in KS
Legal business name
RICHARD J. ACKERMAN, JR. D.D.S.,M.S.,P.A.
Practice address
705 1St Ave
Suite B
Dodge City, KS 67801-4437
Phone
(620) 227-2234
Fax
(620) 227-8284
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Richard J. Ackerman Jr., DDS,MSNPI 1679643738
Title
President-Orthodontist
Phone
(620) 227-2234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 4382 KS Primary

Addresses

Primary practice location

705 1St Ave
Suite B
Dodge City, KS 67801-4437

Mailing address

705 1St Ave
Suite B
Dodge City, KS 67801-4437
Phone (620) 227-2234

Other identifiers 2

IdentifierTypeStateIssuer
59637OtherKSBLUE CROSS BLUE SHIELD
40-85861501MedicaidKS

National Provider Directory

National Provider Directory

Locations

705 1st Ave
Ste B
Dodge City, KS 67801
Phone (620) 227-2234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1982879664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 1ST AVE",
            "address_2": "SUITE B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014437",
            "telephone_number": "620-227-2234",
            "fax_number": "620-227-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 1ST AVE",
            "address_2": "SUITE B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014437",
            "telephone_number": "620-227-2234",
            "fax_number": "620-227-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. ACKERMAN, JR. D.D.S.,M.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT-ORTHODONTIST",
        "authorized_official_telephone_number": "620-227-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59637",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40-85861501",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.