Individual provider Active NPI

Ashley E Anderson, DDS

  • Pediatric Dentistry
  • Dublin, OH
National Provider Identifier
1568502219
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30022365 Issued in OH
Practice address
5699 Innovation Dr
Dublin, OH 43016-3312
Phone
(614) 215-9488
Fax
(614) 215-9844
NPI assigned
Feb 8, 2007
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30022365 OH
Pediatric Dentistry 1223P0221X 30022365 OH Primary

Addresses

Primary practice location

5699 Innovation Dr
Dublin, OH 43016-3312

Mailing address

5699 Innovation Dr
Dublin, OH 43016-3312
Phone (614) 215-9488

Other identifiers 3

IdentifierTypeStateIssuer
260135218035OtherOHCARE SOURCE PROVIDER #
9185651OtherOHDORAL PROVIDER #
2672031MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30022365OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Page Pediatric Dentistry Pediatric Dentistry CurrentSince Nov 8, 2025 Accepting new patients
Musial-Gill Properties LLC PastSince Sep 13, 2020 Accepting new patients
Ocean Dental of Ohio, P.C. General Practice Past Accepting new patients

Locations

5699 Innovation Dr
Dublin, OH 43016
Phone (614) 215-9488

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1568502219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5699 INNOVATION DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163312",
            "telephone_number": "614-215-9488",
            "fax_number": "614-215-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 INNOVATION DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163312",
            "telephone_number": "614-215-9488",
            "fax_number": "614-215-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022365",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30022365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE PROVIDER #",
            "identifier": "260135218035",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL PROVIDER #",
            "identifier": "9185651",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2672031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.