Ingram Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

INGRAM DENTAL CORPORATION

Practice address

838 Nordahl Rd Ste 275
San Marcos, CA 92069-3600

Phone

(559) 360-3391

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Ashley IngramNPI 1336670645

Title

Dentist

Phone

(559) 360-3391

Specialties & licenses 1

Addresses

Other names 1

• Nordahl Dental Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Ingram

  • Dentist
  • San Marcos, CA
  • NPI 1336670645
  NPD Authorized official

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1851100143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 INVERLOCHY DR",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920284498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 275",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693600",
            "telephone_number": "559-360-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "559-360-3391"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nordahl Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hassan Bazyar Imani, PHARM.D
• Impact Care LLC
• Imperial Dental
• In Place Homecare Inc.
• Naureen Inam
• Ashley Ingram
• Inland Empire Physicians
• Insightful Nutrition and Wellness
• Integrity in-Home Senior Care LLC
• Andrea Interiano

• Dentist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.