Ashoka Subedar, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8691 Issued in WA

Practice address

230 S 15TH St
Suite a
Mount Vernon, WA 98274-4570

Phone

(360) 424-9860

Fax

(360) 424-9861

NPI assigned

Sep 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1386925477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 15TH ST",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744570",
            "telephone_number": "360-424-9860",
            "fax_number": "360-424-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 15TH ST",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744570",
            "telephone_number": "360-424-9860",
            "fax_number": "360-424-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBEDAR",
        "first_name": "ASHOKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "8691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ORGANIZATION",
            "identifier": "1548375124",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Stride, CPO
• Allison Strong, MD
• Darlene Stuber
• Mark A Studley, MD
• Dana Sturtz, DPT, GCS
• Merry C Sullivan, CCC-SLP
• Glen Mark Sumagit
• Christine L Sundholm, SUDP
• Sunrise Services, Inc.
• Sunrise Services, Inc.

• Dentist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.