Organization Active NPI

Ashton Dental Care PLLC

  • Dental Clinic/Center
  • St Could, FL
National Provider Identifier
1306701784
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ASHTON DENTAL CARE PLLC
Practice address
4990 E Irlo Bronson Highway
St Could, FL 34771
Phone
(689) 210-7210
Fax
(407) 574-4651
NPI assigned
Dec 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Peter Kelly
Title
Owner
Phone
(407) 432-6224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4990 E Irlo Bronson Highway
St Could, FL 34771

Mailing address

4990 E Irlo Bronson Highway
St Could, FL 34771
Phone (689) 210-7210

National Provider Directory

National Provider Directory

Locations

4990 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771
Phone (689) 210-7210

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1306701784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 E IRLO BRONSON HIGHWAY",
            "city": "ST COULD",
            "state": "FL",
            "postal_code": "34771",
            "telephone_number": "689-210-7210",
            "fax_number": "407-574-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 E IRLO BRONSON HIGHWAY",
            "city": "ST COULD",
            "state": "FL",
            "postal_code": "34771",
            "telephone_number": "689-210-7210",
            "fax_number": "407-574-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTON DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-432-6224"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.