Ashley Bennett DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ASHLEY BENNETT DDS, LLC

Practice address

5415 SW Westgate Dr Ste 202
Portland, OR 97221-2429

Phone

(503) 292-8996

NPI assigned

Jan 17, 2020

Organization subpart

No

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

Authorized official

Name

Ashley N Bennett, DDSNPI 1457767212

Title

Owning Dentist

Phone

(503) 292-8996

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Bennett

  • General Practice Dentistry
  • Portland, OR
  • NPI 1457767212
  NPD Authorized official

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1093345159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 SW 13TH CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972199641",
            "telephone_number": "925-234-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SW WESTGATE DR STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212429",
            "telephone_number": "503-292-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY BENNETT DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNING DENTIST",
        "authorized_official_telephone_number": "503-292-8996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Asher, PHD
• Ashes and Joy Counseling, LLC
• Yusuf Ashfaq, MD
• Marlon Ashford, CRM/PSS
• Ashkan Shayegan DMD PC
• Ashley Klees Nutrition LLC
• Ashley Powell, LMT
• Kimberly Polla Ashley-Chase, DNP
• Levi Ashley, LMT
• Michelle T Ashley, NP-BC

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.