Ashley Michelle McIntosh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019032761 Issued in IL

Practice address

2731 Mannheim Rd
Franklin Park, IL 60131-2219

Phone

(312) 999-9995

NPI assigned

Jul 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

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1124636741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S LOOMIS ST APT 1M",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074068",
            "telephone_number": "708-308-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 MANNHEIM RD",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312219",
            "telephone_number": "312-999-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4116 W Peterson Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606466017",
            "country_code": "US",
            "telephone_number": "773-786-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nallely Mata
• Tatianna Marie Matias, BSW
• Nicole S McCullough
• Laura Ann McGinnis
• Keri Ann McGuire, J.D.
• Jordon McMillan, ATC
• Med-Elite Innovation Inc.
• Medical One, LLC
• Ninoshka Medina-Lopez
• Luis Melendez

• General Practice Dentistry in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.