Individual provider Active NPI

Ashley Harrison

  • Dentist
  • Nashville, TN
National Provider Identifier
1245690585
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11256 Issued in TN
Practice address
1005 Dr. D.B. Todd Jr. Blvd
Nashville, TN 37208
Phone
(615) 327-6551
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.031509 IL
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 11256 TN Primary

Addresses

Primary practice location

1005 Dr. D.B. Todd Jr. Blvd
Nashville, TN 37208

Mailing address

117 Wild Rose Dr
Belleville, IL 62221-3606
Phone (618) 593-5302

Other practice location 1

1801 N Belt W Ste C
Belleville, IL 62226-8201
Phone (618) 234-6566

Other practice location 2

1775 Grand Concourse 6th Floor
Bronx, NY 10453
Phone (718) 901-8110

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

LicenseStateTypeSpecialty
019.031509ILMDGeneral Practice Dentistry
11256TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dentistry Today, PC General Practice PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1245690585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WILD ROSE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622213606",
            "telephone_number": "618-593-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR. D.B. TODD JR. BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37208",
            "telephone_number": "615-327-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Belt W Ste C",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622268201",
            "country_code": "US",
            "telephone_number": "618-234-6566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Grand Concourse 6th Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10453",
            "country_code": "US",
            "telephone_number": "718-901-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031509",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.