Individual provider Active NPI

Ashley Elizabeth Ingram, DMD

  • Dentist
  • Fayetteville, AR
National Provider Identifier
1851083422
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4880 Issued in AR
Practice address
2827 E Millennium Dr Ste 3
Fayetteville, AR 72703-6528
Phone
(479) 313-7373
Fax
(479) 313-7379
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4880 AR Primary

Addresses

Primary practice location

2827 E Millennium Dr Ste 3
Fayetteville, AR 72703-6528

Mailing address

2827 E Millennium Dr Ste 3
Fayetteville, AR 72703-6528
Phone (479) 313-7373

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
4880ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoyah Dental, PLLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

2827 E Millennium Dr
Ste 3
Fayetteville, AR 72703
Phone (479) 313-7373

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.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1851083422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 E MILLENNIUM DR STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036528",
            "telephone_number": "479-313-7373",
            "fax_number": "479-313-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 E MILLENNIUM DR STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036528",
            "telephone_number": "479-313-7373",
            "fax_number": "479-313-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.