Individual provider Active NPI

Ashlyn Elizabeth Sappington

  • Dental Hygienist
  • Boonville, MO
National Provider Identifier
1710477187
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2015015545 Issued in MO
Practice address
1115 Main St
Boonville, MO 65233
Phone
(660) 882-6095
NPI assigned
May 11, 2018
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 2015015545 MO Primary

Addresses

Primary practice location

1115 Main St
Boonville, MO 65233

Mailing address

1601 Spiros Dr Apt a
Columbia, MO 65202-5520
Phone (636) 395-3925

Other practice location 1

340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234 ext. 3017

Other practice location 2

340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234 ext. 3017

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
2015015545MOMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1710477187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SPIROS DR APT A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652025520",
            "telephone_number": "636-395-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MAIN ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "65233",
            "telephone_number": "660-882-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Kelley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "MO",
            "postal_code": "652653811",
            "country_code": "US",
            "telephone_number": "573-582-1234 x3017",
            "fax_number": "573-582-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Kelley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "MO",
            "postal_code": "652653811",
            "country_code": "US",
            "telephone_number": "573-582-1234 x3017",
            "fax_number": "573-582-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPPINGTON",
        "first_name": "ASHLYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2015015545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.