Ashley Rose Elizondo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0025544 Issued in TX

Practice address

5601 Bandera Rd
San Antonio, TX 78238-1979

Phone

(210) 521-1733

NPI assigned

Jun 18, 2010

Last updated

Jun 18, 2010By the provider in NPPES

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1245551738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 MORNING MIST ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302117",
            "telephone_number": "210-386-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381979",
            "telephone_number": "210-521-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "ASHLEY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0025544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justice Elizardo
• Hector Eusebio Elizondo Adamchik, MD
• Alexis Elizondo, CCC SLP
• Amanda Kay Elizondo, CSFA
• Armando Elizondo III, MD
• Barbara Alexandra Elizondo
• Crista Marie Elizondo, LM
• Crystal Ann Elizondo
• Denise Elizondo, MD
• Edgar Edward Elizondo, DDS

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.