Individual provider Active NPI

Amy Ruth Aston I, DDS

  • Pediatric Dentistry
  • Beavercreek, OH
National Provider Identifier
1629056213
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.024238 Issued in OH
Practice address
3300 Kemp Rd
Beavercreek, OH 45431-4200
Phone
(937) 426-2653
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30.024238 OH Primary
Pediatric Dentistry 1223P0221X 3540 WV

Addresses

Primary practice location

3300 Kemp Rd
Beavercreek, OH 45431-4200

Mailing address

3300 Kemp Rd
Beavercreek, OH 45431-4200
Phone (937) 426-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220725002863 OH Order and Referring Only - DentistPractitioner - Dentist 9739377532

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1629056213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 KEMP RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314200",
            "telephone_number": "937-426-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 KEMP RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314200",
            "telephone_number": "937-426-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTON",
        "first_name": "AMY",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.024238",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WV",
            "license": "3540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.