Individual provider Active NPI

Ashley Lisonbee, RDH

  • Dental Hygienist
  • Walsenburg, CO
National Provider Identifier
1407253271
Registry record updated Nov 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH.002023962 Issued in CO
Practice address
620 S Albert Ave
Walsenburg, CO 81089-2240
Phone
(719) 738-6446
NPI assigned
Nov 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH.002023962 CO Primary

Addresses

Primary practice location

620 S Albert Ave
Walsenburg, CO 81089-2240

Mailing address

620 S Albert Ave
Walsenburg, CO 81089-2240
Phone (719) 738-6446

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
DH.002023962COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Phil Warlick, DDS, Inc 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": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416614400000",
    "number": "1407253271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S ALBERT AVE",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892240",
            "telephone_number": "719-738-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S ALBERT AVE",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892240",
            "telephone_number": "719-738-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISONBEE",
        "first_name": "ASHLEY",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-22",
        "last_updated": "2014-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002023962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walsenburg, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; 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.