Active NPI
Ashla Martin, DDS
- Pediatric Dentistry
- Cedar Hill, TX
National Provider Identifier
1871775635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 25216
- Practice address
- 450 N Highway 67 Ste 100
Cedar Hill, TX 75104-2136 - Phone
- (972) 291-5720
- Fax
- (972) 291-5730
- NPI assigned
- Dec 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5873 | LA | |
| Pediatric Dentistry | 1223P0221X | 25216 | TX | Primary |
Addresses
Primary practice location
450 N Highway 67 Ste 100
Cedar Hill, TX 75104-2136
Mailing address
450 N Highway 67 Ste 100
Cedar Hill, TX 75104-2136
Phone (972) 291-5720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5873 | Other | LA | STATE LICENSE |
| 25216 | Other | TX | STATE LICENSE |
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 |
|---|---|---|---|
| 25216 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry of Cedar Hill, P.L.L.C. | Pediatric Dentistry | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kids@Heart Pediatric Dentistry
- Pediatric Dentistry
- Cedar Hill, TX
- NPI 1205378650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1871775635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N HIGHWAY 67 STE 100",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042136",
"telephone_number": "972-291-5720",
"fax_number": "972-291-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N HIGHWAY 67 STE 100",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042136",
"telephone_number": "972-291-5720",
"fax_number": "972-291-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ASHLA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5873",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "25216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5873",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "25216",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.