Michelangelo Villanueva Ascalon, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

9124 Mill Park Ave
Tacoma, WA 98433-2301

Phone

(714) 267-9494

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1528649548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 LINCOLN BLVD 2ND FLOOR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9124 MILL PARK AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984332301",
            "telephone_number": "714-267-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCALON",
        "first_name": "MICHELANGELO",
        "middle_name": "VILLANUEVA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED STATES ARMY",
            "identifier": "1504424991",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelangelo.v.ascalon.mil@mail.mil",
            "affiliation": "N",
            "address_1": "9124 Mill Park Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984332301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gwendolyn Anne Artman, BS, MS
• Lee Eric Artman, M. D.
• Liliya Artym
• Anne M Asam, M.D.
• Shirley Asare-Nkansah
• Ivanisse Coraly Asencio-Acevedo, M.S. CCC-SLP
• Alfred Ogwago Aseto, CBT
• Lauren Ashbaugh
• Emilee Ashby, CRNA
• Savanna Ashby

• Dental Hygienist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.