Ashleigh Marie Rexford, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12011319A Issued in IN

Practice address

3750 Guion Rd Ste 280
Indianapolis, IN 46222-1696

Phone

(317) 924-3228

NPI assigned

Jun 10, 2009

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 15, 2017 through Aug 15, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306072814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WISHARD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022872",
            "telephone_number": "317-278-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 GUION RD STE 280",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221696",
            "telephone_number": "317-924-3228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8102 Kingston St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461239539",
            "country_code": "US",
            "telephone_number": "317-396-1873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REXFORD",
        "first_name": "ASHLEIGH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12011319A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive Hydration Spa LLC (Revive RX)
• Revive Medical Group LLC
• George E Revtyak, MD
• Aaliyah Rew
• Douglas K Rex, M.D.
• Qyshandra Lyshea Rexroat, CPHT
• Daniel F Rexroth, PSYD
• Erica Jyl Reyenga, RD
• Ada Estephania Reyes Contreras, DO
• Victor Reyes Romero, LMT

• Endodontics in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Endodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.