Ashley Marie Nilssen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14443 Issued in MN

Practice address

350 22ND St
Zumbrota, MN 55992-5201

Phone

(507) 732-5346

Fax

(507) 237-6918

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Modern Dental Professionals Minnesota PC

  dba Midwest Dental

  • Dentist
  • Red Wing, MN
  • NPI 1205286960

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1699383364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 13TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921682",
            "telephone_number": "507-358-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 22ND ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559925201",
            "telephone_number": "507-732-5346",
            "fax_number": "507-237-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSEN",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loled Acoustic Tours, Inc. (Zumbrota Main Street Pharmacy)
• Lotus Mental Health and Recovery, LLC
• McBe Company (Weber & Judd Zumbrota)
• Modern Dental Professionals, MN PC (Midwest Dental)
• Melinda Marie Nelson, PTA
• Allison Ann Patnaude, LPCC
• Jared Kenneth Post, D.C.
• Jeffrey Michael Post, CNP
• Rauen Physical Therapy LLC
• Andrea Kristin Smothers, MSW LICSW

• General Practice Dentistry in Zumbrota, MN
• Providers in Zumbrota, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.