Individual provider Active NPI

Ashton Monique Green-Sims, DMD

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1255986808
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12013242A Issued in IN
Practice address
4939 E 82ND St Ste D500
Indianapolis, IN 46250-5678
Phone
(317) 578-8900
NPI assigned
Aug 9, 2019
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12013242A IN Primary

Addresses

Primary practice location

4939 E 82ND St Ste D500
Indianapolis, IN 46250-5678

Mailing address

9762 April Rose Dr
Fishers, IN 46040-8308
Phone (317) 413-3399

Other practice location 1

9940 Pendleton Pike Ste B
Indianapolis, IN 46236-2823
Phone (317) 541-1900

Other names 1

  • Dr. Ashton Monique Green Former name

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
12013242AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Say Smile LLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

4939 E 82nd St
Ste D500
Indianapolis, IN 46250
Phone (317) 578-8900

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, 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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1255986808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9762 APRIL ROSE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460408308",
            "telephone_number": "317-413-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 E 82ND ST STE D500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505678",
            "telephone_number": "317-578-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9940 Pendleton Pike Ste B",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462362823",
            "country_code": "US",
            "telephone_number": "317-541-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN-SIMS",
        "first_name": "ASHTON",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013242A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHTON",
            "last_name": "GREEN",
            "middle_name": "MONIQUE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.