Ashley Brumell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105722 Issued in CA

Practice address

13721 Roswell Ave Ste C
Chino, CA 91710-5463

Phone

(909) 627-8544

NPI assigned

Oct 20, 2020

Sex

Female

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 CA

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBHDAD/Endpoint/FBHDAD

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

• Ayouby and Bebing Dental Group

  • Dentist
  • Chino, CA
  • NPI 1952279390
  NPD

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1003415183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21268 GREENBROOK DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892044",
            "telephone_number": "909-455-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13721 ROSWELL AVE STE C",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105463",
            "telephone_number": "909-627-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMELL",
        "first_name": "ASHLEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Evan Bristol, DPT
• Brite Dental Chino, Inc.
• Brockton Medical Transport, LLC
• Taylor Kaili Brower
• Chelsea Wedermann Brown, FNP-C
• Samantha Jo Brumfield, MSN, APRN, AGACNP-BC
• Lauren Marie Brunner
• Michael Eric Leong Brydges
• Louis Buchhold, LMFT, EDDCP
• Jennifer Anne Hagler Buckley, RN, MSN, FNP

• General Practice Dentistry in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.