Individual provider Active NPI

Ashley Brooke Hoders, DMD

  • Periodontics
  • Seattle, WA
National Provider Identifier
1427216829
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DE60545349 Issued in WA
Practice address
720 Olive Way Ste 810
Seattle, WA 98101-1836
Phone
(206) 628-0404
NPI assigned
Jun 2, 2008
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17949 FL
Periodontics 1223P0300X DE60545349 WA Primary

Addresses

Primary practice location

720 Olive Way Ste 810
Seattle, WA 98101-1836

Mailing address

8226 S 15TH St
Tacoma, WA 98465-2243
Phone (954) 254-8307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 2, 2016 through May 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN17949FLMDGeneral Practice Dentistry
DE60545349WAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Odonnell DDS PLLC Periodontics CurrentSince Jun 15, 2025 Accepting new patients
David P Mathews DDS PS Periodontics Past Accepting new patients
Gerrarda C. O'Beirne Periodontics PastSince Oct 1, 2023 Accepting new patients
Watergate Dental Associates Inc General Practice Past Accepting new patients

Locations

720 Olive Way
Ste 810
Seattle, WA 98101
Phone (206) 628-0404

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1427216829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 S 15TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652243",
            "telephone_number": "954-254-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 810",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011836",
            "telephone_number": "206-628-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODERS",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17949",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60545349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.