Ambre A. Ehlert Kragor, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN014935 Issued in GA

Practice address

217 White Oak Dr
Canton, GA 30114-7777

Phone

(206) 854-8585

Fax

(770) 213-8954

NPI assigned

Mar 30, 2015

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

Other identifiers 1

Other names 1

• Dr. Ambre A. Ehlert Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Credentials

Master of Science

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1285029157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WHITE OAK DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147777",
            "telephone_number": "206-854-8585",
            "fax_number": "770-213-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WHITE OAK DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147777",
            "telephone_number": "206-854-8585",
            "fax_number": "770-213-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERT KRAGOR",
        "first_name": "AMBRE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN014935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA DENTAL LICENSE",
            "identifier": "DN014935",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBRE",
            "last_name": "EHLERT",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Kyle Edwards
• Lindsey Jo Edwards, PHARM D
• Megan Eggleston, DPT
• Ehi Pharmacy Solutions, LLC
• Leta Jean Ehlers, PHARMD, BCPPS
• Alissa El-Bisi, RN
• Abdulrahman Elabor, MD
• Joshua Deloach Elliott, PA-C
• Stephanie Knight Ellis, R. PH.
• Kaitlyn Cheilon Ellithorpe, RBT

• Orthodontics and Dentofacial Orthopedics Dentistry in Canton, GA
• Providers in Canton, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.