Active NPI
Ashley Elizabeth Wilson, DENTAL HYGIENIST
- Dental Hygienist
- Colorado Springs, CO
National Provider Identifier
1215424353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH.002024806
- Practice address
- 1079 Space Center Dr Unit 100
Colorado Springs, CO 80915-3612 - Phone
- (719) 596-3481
- NPI assigned
- Apr 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH.002024806 | CO | Primary |
Addresses
Primary practice location
1079 Space Center Dr Unit 100
Colorado Springs, CO 80915-3612
Mailing address
7558 Forest Valley Loop
Colorado Springs, CO 80908-5647
Phone (757) 351-9180
Other practice location 1
3141 Centennial Blvd
Colorado Springs, CO 80907-4094
Phone (719) 327-5660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DH.002024806 | Other | CO | DORA - DENTAL HYGIENE LICENSE. |
Other names 1
- Ashley Elizabeth Brooks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH.002024806 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523664000000",
"number": "1215424353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7558 FOREST VALLEY LOOP",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809085647",
"telephone_number": "757-351-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 SPACE CENTER DR UNIT 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809153612",
"telephone_number": "719-596-3481"
}
],
"practiceLocations": [
{
"address_1": "3141 Centennial Blvd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809074094",
"country_code": "US",
"telephone_number": "719-327-5660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-14",
"last_updated": "2018-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH.002024806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORA - DENTAL HYGIENE LICENSE.",
"identifier": "DH.002024806",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "BROOKS",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.