Individual provider Active NPI

Ashley King-Tinsley, DMD

  • Dentist
  • Elizabethtown, KY
National Provider Identifier
1104051689
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8770 Issued in KY
Practice address
120 Helmwood Plaza Dr Ste 135
Elizabethtown, KY 42701-3458
Phone
(502) 852-2445
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8770 KY Primary

Addresses

Primary practice location

120 Helmwood Plaza Dr Ste 135
Elizabethtown, KY 42701-3458

Mailing address

13508 Pleasant Glen CT.
Louisville, KY 40299
Phone (502) 338-3834

Other names 1

  • Miss Ashley Nicole King Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20151001003143 KY Order and Referring Only - DentistPractitioner - Dentist 4385952845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8770KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104051689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13508 PLEASANT GLEN CT.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299",
            "telephone_number": "502-338-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HELMWOOD PLAZA DR STE 135",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013458",
            "telephone_number": "502-852-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-TINSLEY",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "KING",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.