Active NPI
Ashlee Nacole Spann
- Dentist
- Amarillo, TX
National Provider Identifier
1457046120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40765
- Practice address
- 3113 Ross St
Amarillo, TX 79103-2700 - Phone
- (806) 374-7341
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40765 | TX | Primary |
Addresses
Primary practice location
3113 Ross St
Amarillo, TX 79103-2700
Mailing address
1905 Margaret Dr
Wichita Falls, TX 76306-1819
Phone (940) 257-5784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regence Health Network Inc | Current | Accepting new patients | |
| Regence Health Network Inc | Current | Accepting new patients | |
| Regence Health Network Inc | Current | Accepting new patients |
Locations
3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341
410 Canyon St
Plainview, TX 79072
Phone (806) 291-0297
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Plainview, TX
- NPI 1083613640
-
- Federally Qualified Health Center (FQHC)
- Amarillo, TX
- NPI 1003813056
-
- Federally Qualified Health Center (FQHC)
- Plainview, TX
- NPI 1396741237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1457046120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 MARGARET DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763061819",
"telephone_number": "940-257-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 ROSS ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791032700",
"telephone_number": "806-374-7341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANN",
"first_name": "ASHLEE",
"middle_name": "NACOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
- Southwest Neuroscience and Spine Center PA
- Southwest Neuroscience Pain Center, LLP
- D Gary Soya, M.D.
- Valerie D Spanel, LPC
- Stephanie Spangler, PHARM.D.
- John Kyle Sparkman, M.S.
- Chellsea Sparks, M.A., LPC-ASSOSCIATE
- Jennie Sparks, COTA
- Spearhead Home Medical LLC (Spearhead Home Medical)
- Amy E. Spears, MA, NCC, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.