Individual provider Active NPI

Ashlee Verma

  • General Practice Dentistry
  • Cathedral City, CA
National Provider Identifier
1053050294
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110811 Issued in CA
Practice address
67760 E Palm Canyon Dr
Cathedral City, CA 92234-5472
Phone
(760) 688-7653
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 110811 CA Primary

Addresses

Primary practice location

67760 E Palm Canyon Dr
Cathedral City, CA 92234-5472

Mailing address

16 Chandon CT
Rancho Mirage, CA 92270-2731

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250924003039 CA Order and Referring Only - DentistPractitioner - Dentist 5193220838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110811CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dewenter Dental Corporation CurrentSince Feb 23, 2025 Accepting new patients

Locations

67760 E Palm Canyon Dr
Cathedral City, CA 92234
Phone (760) 688-7653

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1053050294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHANDON CT",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67760 E PALM CANYON DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345472",
            "telephone_number": "760-688-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "ASHLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.