Active NPI
Ashely Anne Hayes, R.D.H
- Dental Hygienist
- Twain Harte, CA
National Provider Identifier
1821301748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 25076
- Practice address
- 22629 Twain Harte Dr
Twain Harte, CA 95383-9405 - Phone
- (209) 586-2772
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 25076 | CA | Primary |
Addresses
Primary practice location
22629 Twain Harte Dr
Twain Harte, CA 95383-9405
Mailing address
525 Barretta St Apt D
Sonora, CA 95370-5115
Phone (209) 324-0835
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 |
|---|---|---|---|
| 25076 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Practice of DRS. McKelvey & Grossman, a Prof. Dental Corp. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Twain Harte, CA
- NPI 1578885141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1821301748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BARRETTA ST APT D",
"city": "SONORA",
"state": "CA",
"postal_code": "953705115",
"telephone_number": "209-324-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22629 TWAIN HARTE DR",
"city": "TWAIN HARTE",
"state": "CA",
"postal_code": "953839405",
"telephone_number": "209-586-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "ASHELY",
"middle_name": "ANNE",
"credential": "R.D.H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "25076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twain Harte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.