Ashton Wickwire, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS09024 Issued in IA

Practice address

100 E South St
Corydon, IA 50060-1724

Phone

(641) 872-2514

Fax

(641) 872-1152

NPI assigned

Jul 23, 2013

Last updated

Jun 26, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Lancaster Dental Associates

  • Dental Clinic/Center
  • Lancaster, WI
  • NPI 1699005819
  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1053753772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W HICKORY ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538131457",
            "telephone_number": "608-723-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SOUTH ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601724",
            "telephone_number": "641-872-2514",
            "fax_number": "641-872-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKWIRE",
        "first_name": "ASHTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS09024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne County Hospital
• Wayne County Treasury (Wayne County Public Health Nursing Services)
• Wayne County Treasury (Wayne County Public Health Nursing Service)
• Wayne Family Medical Center, Inc. (South Central Iowa Medical Clinic)
• Joel Alan Wells, D.O.
• Cortney Serene Wilson, SA-C
• Amy Lynn Wood, P.A.-C
• Woundcare LLC

• General Practice Dentistry in Corydon, IA
• Providers in Corydon, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.