Individual provider Active NPI

Ashton Brooke Lyle

  • Dentist
  • Cary, NC
National Provider Identifier
1164984274
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49383979 Issued in NC
Practice address
251 Grande Heights Dr
Cary, NC 27513-3925
Phone
(919) 466-0076
NPI assigned
Apr 5, 2019
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49383979 NC Primary

Addresses

Primary practice location

251 Grande Heights Dr
Cary, NC 27513-3925

Mailing address

251 Grande Heights Dr
Cary, NC 27513-3925
Phone (919) 466-0076

Other practice location 1

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190822003380 NC Order and Referring Only - DentistPractitioner - Dentist 3072841469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49383979NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashton Lyle, DMD, PLLC Current Accepting new patients
McDuffie Harrison Pointe PLLC PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1164984274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 GRANDE HEIGHTS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133925",
            "telephone_number": "919-466-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 GRANDE HEIGHTS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133925",
            "telephone_number": "919-466-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-355-2165",
            "fax_number": "704-355-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLE",
        "first_name": "ASHTON",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "49383979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.