Ashmore Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

63198 Issued in CA

Legal business name

ASHMORE DENTAL CORPORATION

Practice address

4110 W Point Loma Blvd
San Diego, CA 92110-5603

Phone

(619) 701-6622

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Glenn Casey Ashmore, DDS

Title

Owner

Phone

(619) 701-6622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1083002463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105603",
            "telephone_number": "619-701-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105603",
            "telephone_number": "619-701-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHMORE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-701-6622",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Ashley, COTA/L
• Ashli Healthcare Inc
• Michael William Ashline, IDC
• Ellen Ashman, NP
• Randy Eugene Ashman, CRNA
• Glenn Casey Ashmore, DDS
• Amanda Ashoor
• Ashraf Fanous Medical Corp
• Humaira Ashraf, RD, CDCES
• Sogol Ashrafian, MD

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.