Individual provider Active NPI

Ashley Chen Keesler, DDS

  • General Practice Dentistry
  • Brooklyn Center, MN
National Provider Identifier
1962078022
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14866 Issued in MN
Practice address
512 66TH Ave N
Brooklyn Center, MN 55430-1643
Phone
(763) 560-3334
NPI assigned
May 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37718 TX
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X D14866 MN Primary

Addresses

Primary practice location

512 66TH Ave N
Brooklyn Center, MN 55430-1643

Mailing address

512 66TH Ave N
Brooklyn Center, MN 55430-1643
Phone (763) 560-3334

Other practice location 1

1601 Forest Trl
Temple, TX 76502-2715
Phone (254) 778-3002

Other practice location 2

825 Nicollet Mall Ste 1025
Minneapolis, MN 55402-2614
Phone (612) 333-2879

Other names 1

  • Dr. Ashley Chen Former name

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

LicenseStateTypeSpecialty
D14866MNMDGeneral Practice Dentistry
37718TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carus Dental PC General Practice CurrentSince Jan 26, 2022 Accepting new patients
Northland Dental Partners, PLLC General Practice CurrentSince Oct 8, 2023 Accepting new patients
Northland Dental Partners, PLLC General Practice PastSince Mar 20, 2022 Accepting new patients
Longhorn Dental General Practice PastSince Dec 1, 2021 Accepting new patients

Locations

512 66th Ave N
Brooklyn Center, MN 55430
Phone (763) 560-3334

1601 Forest Trl
Temple, TX 76502
Phone (254) 778-3002

Organizations & group practices 4

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": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1962078022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301643",
            "telephone_number": "763-560-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301643",
            "telephone_number": "763-560-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Forest Trl",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765022715",
            "country_code": "US",
            "telephone_number": "254-778-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Nicollet Mall Ste 1025",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554022614",
            "country_code": "US",
            "telephone_number": "612-333-2879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESLER",
        "first_name": "ASHLEY",
        "middle_name": "CHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37718",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.