Individual provider Active NPI

Craig Ashton

  • General Practice Dentistry
  • Bonita Springs, FL
National Provider Identifier
1487870929
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10241 Issued in FL
Practice address
27544 Bayshore Dr
Bonita Springs, FL 34134-4057
Phone
(239) 940-1419
Fax
(239) 530-4025
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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 DN10241 FL Primary

Addresses

Primary practice location

27544 Bayshore Dr
Bonita Springs, FL 34134-4057

Mailing address

27544 Bayshore Dr
Bonita Springs, FL 34134-4057
Phone (239) 940-1419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160415001144 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6406154939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10241FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1487870929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27544 BAYSHORE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344057",
            "telephone_number": "239-940-1419",
            "fax_number": "239-530-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27544 BAYSHORE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344057",
            "telephone_number": "239-940-1419",
            "fax_number": "239-530-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTON",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.