Ashley Marie Bryant, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13293 Issued in MN

Practice address

302 Fire Monument Rd
Hinckley, MN 55037-8350

Phone

(320) 384-6118

NPI assigned

Jul 8, 2013

Last updated

Jul 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hinckley Dental Center P. a.

  • General Practice Dentistry
  • Hinckley, MN
  • NPI 1437138583
  NPD (past)
• Modern Dental Professionals MN PC

  dba Midwest Dental - Hinckley

  • Dentist
  • Hinckley, MN
  • NPI 1487805925
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1649611666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 ASH ST",
            "address_2": "#205",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566901",
            "telephone_number": "763-443-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 FIRE MONUMENT RD",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550378350",
            "telephone_number": "320-384-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Masterson
• Christine Butler, LMHC
• Deanna Caza, RPH
• Ryan Todd Degerstrom, PT
• Kenneth E. Etterman, M.D.
• Nicole Frogner

• Dentist in Hinckley, MN
• Providers in Hinckley, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.