Organization Active NPI

Ashton Dental PC

Doing business as Astra Dental

  • Dentist
  • Bloomingdale, IL
National Provider Identifier
1538985221
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASHTON DENTAL PC
Doing business as
Astra Dental
Practice address
142 S Gary Ave
Bloomingdale, IL 60108-2235
Phone
(630) 542-1470
Fax
(630) 542-1471
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ASHTON DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Sohail S Shafi
Title
Manager
Phone
(630) 842-3705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

142 S Gary Ave
Bloomingdale, IL 60108-2235

Mailing address

1730 Park St Ste 106
Naperville, IL 60563-2609
Phone (630) 596-5018

Other names 1

  • Astra Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smile Town Dental11 organizations share this tax ID, including this one
Part of
Smile Town Dental

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

142 S Gary Ave
Bloomingdale, IL 60108
Phone (630) 542-1470

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1538985221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PARK ST STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632609",
            "telephone_number": "630-596-5018",
            "fax_number": "630-596-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S GARY AVE",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082235",
            "telephone_number": "630-542-1470",
            "fax_number": "630-542-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTON DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHTON DENTAL PC",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-842-3705"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astra Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.