NPIMap

Individual provider Active NPI

Ashley Anne Rainbolt, D.D.S.

  • Dentist
  • Elkhorn, NE
National Provider Identifier
1902192487
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6965 Issued in NE
Practice address
1048 N 204TH Ave
Elkhorn, NE 68022-4641
Phone
(402) 289-2313
NPI assigned
Jun 23, 2011
Last updated
Mar 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6965 NE Primary

Addresses

Primary practice location

1048 N 204TH Ave
Elkhorn, NE 68022-4641

Mailing address

1048 N 204TH Ave
Elkhorn, NE 68022-4641
Phone (402) 289-2313

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

Practice roles

OrganizationSpecialtyStatusNew patients
Candlewood Dental Associates Current Accepting new patients
Wilson Dental Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1902192487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 N 204TH AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224641",
            "telephone_number": "402-289-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 N 204TH AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224641",
            "telephone_number": "402-289-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINBOLT",
        "first_name": "ASHLEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.