Individual provider Active NPI

Ashley Brewington Loudermilk, D.M.D

  • Pediatric Dentistry
  • Camp Lejeune, NC
National Provider Identifier
1841632270
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
38025 Issued in TX
Practice address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone
(910) 450-4740
NPI assigned
Jul 26, 2013
Last updated
May 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 38025 TX Primary

Addresses

Primary practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Mailing address

941 Needlerush Rd
Sneads Ferry, NC 28460-5401
Phone (662) 312-6590

Other practice location 1

3829 Lockhill Selma Rd
San Antonio, TX 78230-1761
Phone (210) 899-1099

Other practice location 2

Attn: Medical Staff Services BLDG H 2005 Knight Lane
Navy Medical Support Command
Jacksonville, FL 32212-0140
Phone (662) 312-6590

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
38025TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1841632270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 NEEDLERUSH RD",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284605401",
            "telephone_number": "662-312-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "910-450-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3829 Lockhill Selma Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782301761",
            "country_code": "US",
            "telephone_number": "210-899-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "ATTN: MEDICAL STAFF SERVICES BLDG H 2005 KNIGHT LANE",
            "address_2": "NAVY MEDICAL SUPPORT COMMAND",
            "address_purpose": "LOCATION",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "662-312-6590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWINGTON LOUDERMILK",
        "first_name": "ASHLEY",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "38025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.