Individual provider Active NPI

Ashley Renee Stansbury, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynchburg, VA
National Provider Identifier
1922414671
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401416922 Issued in VA
Practice address
101 Archway CT
Lynchburg, VA 24502-2890
Phone
(434) 832-8040
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401416922 VA Primary

Addresses

Primary practice location

101 Archway CT
Lynchburg, VA 24502-2890

Mailing address

101 Archway CT
Lynchburg, VA 24502-2890
Phone (434) 834-8040

Other practice location 1

800 Rose St Rm D-508
Lexington, KY 40536-0293
Phone (859) 257-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001001469 KS Practitioner - Maxillofacial Surgery 0345563771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Baylor College of Dentistry/Texas a&M University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Cleft and Craniofacial Center PAGroup PAC ID 8820539687, 4 clinicians

Practice addresses (Care Compare)

12200 W 106TH St
Overland Park, KS 66215-2305
Phone (816) 323-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3477OHMDChiropractor
62015KSMDGeneral Practice Dentistry
0401416922VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Cleft and Craniofacial Center PA Oral and Maxillofacial Surgery CurrentSince Aug 4, 2024 Accepting new patients
William Carvajal DDS MD Inc Oral and Maxillofacial Surgery PastSince Jul 4, 2021 Accepting new patients

Locations

12200 W 106th St
Overland Park, KS 66215
Phone (816) 323-6900

4700 Belleview Ave
Ste 210
Kansas City, MO 64112

Interoperability endpoints

  • Direct secure messaging: astansbury20359@ukhcdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1922414671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ARCHWAY CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022890",
            "telephone_number": "434-834-8040",
            "fax_number": "434-834-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ARCHWAY CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022890",
            "telephone_number": "434-832-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St Rm D-508",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360293",
            "country_code": "US",
            "telephone_number": "859-257-2002",
            "fax_number": "859-323-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANSBURY",
        "first_name": "ASHLEY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401416922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.