Active NPI
Ashley Lauren Wegener
- Dental Hygienist
- House Springs, MO
National Provider Identifier
1760896062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2013016817
- Practice address
- 4300 Gravois Rd
House Springs, MO 63051-2304 - Phone
- (636) 321-0150
- Fax
- (636) 375-5157
- NPI assigned
- Jun 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2013016817 | MO | Primary |
Addresses
Primary practice location
4300 Gravois Rd
House Springs, MO 63051-2304
Mailing address
21 Municipal Dr
Arnold, MO 63010-1012
Phone (636) 321-0101
Other names 1
- Ashley Lauren Olliges
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013016817 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1760896062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MUNICIPAL DR",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630101012",
"telephone_number": "636-321-0101",
"fax_number": "636-296-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 GRAVOIS RD",
"city": "HOUSE SPRINGS",
"state": "MO",
"postal_code": "630512304",
"telephone_number": "636-321-0150",
"fax_number": "636-375-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGENER",
"first_name": "ASHLEY",
"middle_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2013016817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "OLLIGES",
"middle_name": "LAUREN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in House Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.