DR. KEVIN RAY ACKERMAN (NPI# 1922274232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922274232 |
| Entity Type | Individual |
| Full Name | DR. KEVIN RAY ACKERMAN |
| Credential | DDS |
| Practice Address |
3701 Lone Tree Way Suite 3-a Antioch CA 94509-6038 |
| Practice Telephone | 9257540899 |
| Mailing Telephone | 9257540899 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 39742 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950150 | Kevin Ackerman | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-04-10 |
| 1578127841 | Kevin Ackerman | Counselor | 518 S Browne St, Spokane, WA 99204-2315 | 2019-04-23 |
| Street Address |
3701 LONE TREE WAY SUITE 3-A |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-6038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235154261 | Ackerman & Towson | Dentist | 3701 Lone Tree Way, Suite 3-a, Antioch, CA 94509-6038 | 2006-07-12 |
| 1336613751 | Adaeze Ezinne Durunna | Student in an Organized Health Care Education/Training Program | 3701 Lone Tree Way, Antioch, CA 94509-6038 | 2019-01-18 |
| 1962877837 | Bonnie Seitz | Marriage & Family Therapist | 3701 Lone Tree Way, Suite 7, Antioch, CA 94509-6038 | 2015-12-03 |
| 1396117230 | Renee Raquel Resendez | Marriage & Family Therapist | 3701 Lone Tree Way, Ste. 7, Antioch, CA 94509-6038 | 2015-10-29 |
| 1851567184 | Eric Lloyd Towson | Dentist | 3701 Lone Tree Way, Suite 3-a, Antioch, CA 94509-6038 | 2008-05-06 |
| 1437172848 | James Alan Jewell | Physician Assistant | 3701 Lone Tree Way, Suite 6, Antioch, CA 94509-6038 | 2006-07-26 |
| 1720007545 | John Karan | Psychiatry & Neurology | 3701 Lone Tree Way, Suite 5, Antioch, CA 94509-6038 | 2006-07-19 |
| 1053337113 | David Allen Fisher | Specialist | 3701 Lone Tree Way, Suite 6, Antioch, CA 94509-6038 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1790220861 | Karlene Guasteferro Dds of Tennessee PC | Dentist | 609 Bakertown Rd, Antioch, TN 37013-2657 | 2016-12-28 |
| 1730622523 | Karlene Guasteferro, D.d.s. of Maine, P.C. | Dentist | 601 Bakertown Rd, Antioch, TN 37013-2657 | 2016-11-28 |
| 1538519368 | Ahmad Noweder | Dentist | 421 E Il Route 173, Antioch, IL 60002-9406 | 2016-06-13 |
| 1811351794 | Genx Investments LLC | Dentist | 3538 Murfreesboro Pike, Ste 305, Antioch, TN 37013-2578 | 2016-04-07 |
| 1972965333 | Lamb & Morrice, A Dental Corporation | Dentist | 3107 Lone Tree Way Ste C, Antioch, CA 94509-4959 | 2016-03-24 |
| 1508268103 | Leng C. Haong, D.d.s., Inc. | Dentist | 5867 Lone Tree Way Ste F, Antioch, CA 94531-8623 | 2014-09-25 |
| 1427498880 | Eric Jerome Oates | Dentist | 424 Edencrest Ct, Antioch, TN 37013-1918 | 2013-07-01 |
| 1801169198 | Western Dental Services, Inc. | Dentist | 4518 Lone Tree Way, Antioch, CA 94531-7414 | 2012-02-16 |
| 1982801759 | Nicholas Ruggiero | Dentist | 1326 Main St Ste A, Antioch, IL 60002-2181 | 2007-06-27 |
| Find all providers in ANTIOCH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.