Individual provider Active NPI

Ashtin Nichole McMurray, DMD

  • Dentist
  • Stratford, CA
National Provider Identifier
1801417753
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106614 Issued in CA
Practice address
20326 Main St
Stratford, CA 93266
Phone
(559) 386-4502
NPI assigned
May 1, 2020
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106614 CA Primary

Addresses

Primary practice location

20326 Main St
Stratford, CA 93266

Mailing address

172 W Sherwood Dr
Hanford, CA 93230-7161
Phone (559) 707-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030002281 CA Order and Referring Only - DentistPractitioner - Dentist 0648626564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1801417753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W SHERWOOD DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932307161",
            "telephone_number": "559-707-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20326 MAIN ST",
            "city": "STRATFORD",
            "state": "CA",
            "postal_code": "93266",
            "telephone_number": "559-386-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "ASHTIN",
        "middle_name": "NICHOLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CA

Sources for this page

Verify at the official NPI Registry.