Individual provider Active NPI

Ashlyn Andrea Mortel, RDH

  • Dental Hygienist
  • Saint Croix Falls, WI
National Provider Identifier
1659139988
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1002585 Issued in WI
Practice address
230 S Washington St Unit 1
Saint Croix Falls, WI 54024-4418
Phone
(715) 557-4839
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1002585 WI Primary

Addresses

Primary practice location

230 S Washington St Unit 1
Saint Croix Falls, WI 54024-4418

Mailing address

2626 140TH St
Luck, WI 54853-4107
Phone (715) 554-3686

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
1002585WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe and Thrive, LLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

230 S Washington St
Unit 1
Saint Croix Falls, WI 54024
Phone (715) 557-4839

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1659139988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 140TH ST",
            "city": "LUCK",
            "state": "WI",
            "postal_code": "548534107",
            "telephone_number": "715-554-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S WASHINGTON ST UNIT 1",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540244418",
            "telephone_number": "715-557-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTEL",
        "first_name": "ASHLYN",
        "middle_name": "ANDREA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "1002585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Croix Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.