Kerry D Aston, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22558 Issued in FL

Practice address

499 NW Prima Vista Blvd Unit 107
Port St Lucie, FL 34983-8786

Phone

(772) 336-1500

NPI assigned

May 23, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1053849919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18330 N 79TH AVE APT 2092",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW PRIMA VISTA BLVD UNIT 107",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838786",
            "telephone_number": "772-336-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTON",
        "first_name": "KERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarek Assi, DMD
• Assist2Success LLC
• Fady Asslo, M.D.
• Associates in Infectious Diseases
• Associates in Medicine, LLC
• Michael Timothy Aston, DMD
• Carly Athanasatos
• Atlantic Care Home Health West Palm Beach LLC (Atlantic Care Services)
• Atlantic Coast Anesthesia Associates
• Atlantic Dental Management Company PA (Lucie Dental)

• General Practice Dentistry in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.