Individual provider Active NPI

Ashleigh Nicole Graley, DDS

  • General Practice Dentistry
  • Pascoag, RI
National Provider Identifier
1477048098
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN03398 Issued in RI
Practice address
36 Bridge Way
Pascoag, RI 02859-3131
Phone
(401) 285-5119
NPI assigned
Jun 26, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN03398 RI Primary

Addresses

Primary practice location

36 Bridge Way
Pascoag, RI 02859-3131

Mailing address

166 Valley St Apt 6M314
Providence, RI 02909-2481
Phone (304) 276-8863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20180814003681 RI Order and Referring Only - DentistPractitioner - Dentist 0244589927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1477048098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 VALLEY ST APT 6M314",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029092481",
            "telephone_number": "304-276-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BRIDGE WAY",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593131",
            "telephone_number": "401-285-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRALEY",
        "first_name": "ASHLEIGH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascoag, RI

Sources for this page

Verify at the official NPI Registry.