Active NPI
Ashley B Swan, DMD
- General Practice Dentistry
- Bend, OR
National Provider Identifier
1316956410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100507613 | Medicaid | NV | |
| 500689928 | Medicaid | OR |
Other names 1
- Ashley B Angaran
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4861 | NV | MD | General Practice Dentistry |
| D10257 | OR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatric Dentistry
- Sparks, NV
- NPI 1023127149
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.