Individual provider Active NPI

Ashley Jo Patton, DDS

  • Dentist
  • Montevideo, MN
National Provider Identifier
1235417015
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13013 Issued in MN
Practice address
1317 Grove Ave
Montevideo, MN 56265-1708
Phone
(320) 269-6416
Fax
(320) 269-8136
NPI assigned
Jul 28, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13013 MN Primary

Addresses

Primary practice location

1317 Grove Ave
Montevideo, MN 56265-1708

Mailing address

1317 Grove Ave
Montevideo, MN 56265-1708
Phone (320) 269-6416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160304001444 MN Order and Referring Only - DentistPractitioner - Dentist 4486950243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13013MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Montevideo Family Dentistry PA Past Accepting new patients
Madsen Family Chiropractic, PLLC PastSince Jan 1, 2021 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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1235417015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 GROVE AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651708",
            "telephone_number": "320-269-6416",
            "fax_number": "320-269-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 GROVE AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651708",
            "telephone_number": "320-269-6416",
            "fax_number": "320-269-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "ASHLEY",
        "middle_name": "JO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

Verify at the official NPI Registry.