Individual provider Active NPI

Ashli Noelle Donahue, DMD

  • Dentist
  • Standish, MI
National Provider Identifier
1437726320
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600906 Issued in MI
Practice address
206 S Main St
Standish, MI 48658-2539
Phone
(989) 846-4090
Fax
(989) 846-4160
NPI assigned
Jun 8, 2021
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600906 MI Primary

Addresses

Primary practice location

206 S Main St
Standish, MI 48658-2539

Mailing address

5240 E 31St St
Au Gres, MI 48703-9592
Phone (989) 305-0356

Other practice location 1

4181 Shrestha Dr
Bay City, MI 48706-2171
Phone (989) 686-6110

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
2901600906MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Standish Family Dental Center PLLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

206 S Main St
Standish, MI 48658
Phone (989) 846-4090

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, 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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1437726320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E 31ST ST",
            "city": "AU GRES",
            "state": "MI",
            "postal_code": "487039592",
            "telephone_number": "989-305-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486582539",
            "telephone_number": "989-846-4090",
            "fax_number": "989-846-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4181 Shrestha Dr",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062171",
            "country_code": "US",
            "telephone_number": "989-686-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "ASHLI",
        "middle_name": "NOELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Standish, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.