Active NPI
Ashland Doomes, DMD
- Dentist
- Jonesboro, GA
National Provider Identifier
1871841817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014464
- Practice address
- 301 N Main St Jonesboro
Jonesboro, GA 30236 - Phone
- (770) 477-6868
- Fax
- (770) 477-6869
- NPI assigned
- Aug 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN014464 | GA | Primary |
Addresses
Primary practice location
301 N Main St Jonesboro
Jonesboro, GA 30236
Mailing address
8007 Wesley Providence Pkwy
Lithonia, GA 30038-6964
Phone (229) 809-2188
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 |
|---|---|---|---|
| DN014464 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1871841817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8007 WESLEY PROVIDENCE PKWY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300386964",
"telephone_number": "229-809-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N MAIN ST JONESBORO",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-477-6868",
"fax_number": "770-477-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOMES",
"first_name": "ASHLAND",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-23",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.