Individual provider Active NPI

Mark Milhem Ashy, D.M.D.

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1518998293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16270 Issued in FL
Practice address
13000 Avalon Lake Dr
Ste 201
Orlando, FL 32828-6434
Phone
(407) 658-0103
Fax
(407) 658-0037
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN16270 FL Primary

Addresses

Primary practice location

13000 Avalon Lake Dr
Ste 201
Orlando, FL 32828-6434

Mailing address

6315 Marina Dr
Orlando, FL 32819-4820
Phone (407) 876-9892

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
I20160219000259 FL Order and Referring Only - DentistPractitioner - Dentist 3971808585

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518998293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 MARINA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194820",
            "telephone_number": "407-876-9892",
            "fax_number": "407-658-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 AVALON LAKE DR",
            "address_2": "STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286434",
            "telephone_number": "407-658-0103",
            "fax_number": "407-658-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHY",
        "first_name": "MARK",
        "middle_name": "MILHEM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.