Ashley Evelyn Taylor, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11557 Issued in OR

Practice address

200 Gwee-Shut Road
Siletz, OR 97380

Phone

(541) 444-1030

Fax

(541) 444-9695

NPI assigned

Feb 5, 2020

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

Enrolled in OR

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ashley.taylor.p1@direct.siletzhealthclinic.nextgenshare.com

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.

• Confederated Tribes of Siletz

  • Federally Qualified Health Center (FQHC)
  • Siletz, OR
  • NPI 1316040249
  NPD (past)
• Confederated Tribes of Siletz

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Siletz, OR
  • NPI 1891822003
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1336771674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "97380",
            "telephone_number": "541-444-1030",
            "fax_number": "541-444-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GWEE-SHUT ROAD",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "97380",
            "telephone_number": "541-444-1030",
            "fax_number": "541-444-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ASHLEY",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Rodney Stanger, DDS
• Lorene Stanger, O.D.
• Wylie Stokes, CRM, PRC
• Harmony Stout, CADC-R
• Corey Wayne Strong, CRM, NCTTP
• Lisa D Taylor, NP
• Katie Ann Thomas
• Nicholas Cal Vandersloot, PHARM.D.
• Chelcy Rosaleen Villanueva
• Mary Ellen Volansky, RDH MS LAP

• Dentist in Siletz, OR
• Providers in Siletz, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.