Individual provider Active NPI

Ashley Ann Lee, D.M.D.

  • Dentist
  • Madison, IN
National Provider Identifier
1932460029
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012045A Issued in IN
Practice address
2513 Michigan Rd
Madison, IN 47250-2422
Phone
(812) 273-2388
NPI assigned
Jun 5, 2012
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012045A IN Primary
General Practice Dentistry 1223G0001X 9194 KY

Addresses

Primary practice location

2513 Michigan Rd
Madison, IN 47250-2422

Mailing address

2513 Michigan Rd
Madison, IN 47250-2422

Other practice location 1

8921 Stone Green Way
Louisville, KY 40220-4073
Phone (502) 671-5087

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL myrivertowndentist.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 1, 2015 through Dec 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12012045AINMDDentist
9194KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
My Rivertown Dentist LLC Dentist CurrentSince May 31, 2020 Accepting new patients
Roy D Eaglin DMD General Practice Past Accepting new patients

Locations

2513 Michigan Rd
Madison, IN 47250
Phone (812) 273-2388

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1932460029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 MICHIGAN RD",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 MICHIGAN RD",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502422",
            "telephone_number": "812-273-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8921 Stone Green Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402204073",
            "country_code": "US",
            "telephone_number": "502-671-5087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012045A",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "myrivertowndentist.com",
            "affiliation": "N",
            "address_1": "2513 Michigan Rd",
            "city": "Madison",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472502422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.