Individual provider

Ackeilia Heatrice, DDS

Pediatric Dentistry Medicare enrolled

Ackeilia Heatrice, DDS is a provider specialising in Pediatric Dentistry in Ellisville, MO, registered under NPI 1609003060.

Getting there

The practice address on file is 24 KIEFER CREEK RD, Ellisville, MO 63021. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

24 KIEFER CREEK RD, Ellisville, MO 63021 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2020013343 MO Pediatric Dentistry primary
056027-1 NY Pediatric Dentistry

Licences are recorded in 2 states: MO, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dentist
PAC ID
7517188428
Enrollment ID
I20210602001977

Medicare enrolment is recorded as approved under the provider type Practitioner - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Missouri and New York. The practice address on file is in Ellisville, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MO Missouri practice address
Licence
2020013343
Specialty
Pediatric Dentistry
Verify with the MO board →
NY New York
Licence
056027-1
Specialty
Pediatric Dentistry
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Dentistry covers

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NUCC Health Care Provider Taxonomy, code 1223P0221X
Dental Providers Dentist Pediatric Dentistry

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223P0221X Pediatric Dentistry Pediatric Dentistry 2020013343 MO primary
1223P0221X Pediatric Dentistry Pediatric Dentistry 056027-1 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1609003060 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 12, 2009
Last updatedAug 11, 2025
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 24 KIEFER CREEK RD
Ellisville, MO 63021
(314) 367-7848
This record was updated on Aug 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1609003060 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 0 9 0 0 3 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 0 9 0 0 6 0 3

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1609003060?
NPI 1609003060 is the National Provider Identifier assigned to Ackeilia Heatrice, DDS in Ellisville, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Dentistry cover?
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
How do I contact Ackeilia Heatrice, DDS?
The phone number on file with NPPES is (314) 367-7848, last updated Aug 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ackeilia Heatrice, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1609003060 a valid number?
Yes. 1609003060 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.