Individual provider Active NPI

Ashley B Swan, DMD

  • General Practice Dentistry
  • Bend, OR
National Provider Identifier
1316956410
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4861 Issued in NV
Practice address
400 SW Bond St Ste 100
Bend, OR 97702-3798
Phone
(541) 389-3073
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D10257 OR
General Practice Dentistry 1223G0001X 4861 NV Primary

Addresses

Primary practice location

400 SW Bond St Ste 100
Bend, OR 97702-3798

Mailing address

400 SW Bond St Ste 100
Bend, OR 97702-3798
Phone (541) 389-3073

Other practice location 1

3818 SW 21st St Ste 102
Redmond, OR 97756-6802
Phone (541) 389-3073

Other practice location 2

2357 NE Conners Ave Ste 210
Bend, OR 97701-7427
Phone (541) 389-3073

Other identifiers 2

IdentifierTypeStateIssuer
100507613MedicaidNV
500689928MedicaidOR

Other names 1

  • Ashley B Angaran 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
4861NVMDGeneral Practice Dentistry
D10257ORMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruggiero and Francis Dentistry Pediatric Dentistry Past 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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1316956410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW BOND ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023798",
            "telephone_number": "541-389-3073",
            "fax_number": "541-389-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW BOND ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023798",
            "telephone_number": "541-389-3073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3818 SW 21st St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977566802",
            "country_code": "US",
            "telephone_number": "541-389-3073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2357 NE Conners Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017427",
            "country_code": "US",
            "telephone_number": "541-389-3073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAN",
        "first_name": "ASHLEY",
        "middle_name": "B",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D10257",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507613",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500689928",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ANGARAN",
            "middle_name": "B",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.