Individual provider Active NPI

Ashley Gibbs Zerweck, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Canton, OH
National Provider Identifier
1659697670
Registry record updated Oct 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30-023206 Issued in OH
Practice address
4124 Fulton Dr NW Ste 102
Canton, OH 44718-2852
Phone
(330) 493-4700
NPI assigned
Apr 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30-023206 OH Primary

Addresses

Primary practice location

4124 Fulton Dr NW Ste 102
Canton, OH 44718-2852

Mailing address

4124 Fulton Dr NW Ste 102
Canton, OH 44718-2852
Phone (330) 493-4700

Other names 1

  • Dr. Ashley Eileen Gibbs Former name

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
30-023206OHMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413676800000",
    "number": "1659697670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 FULTON DR NW STE 102",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182852",
            "telephone_number": "330-493-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 FULTON DR NW STE 102",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182852",
            "telephone_number": "330-493-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERWECK",
        "first_name": "ASHLEY",
        "middle_name": "GIBBS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2014-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-023206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GIBBS",
            "middle_name": "EILEEN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2014; 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.