NPIMap

Organization Active NPI

Mayfield & Ashmore DDS, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bremerton, WA
National Provider Identifier
1104059013
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8684 Issued in WA
Legal business name
MAYFIELD & ASHMORE DDS, PLLC
Practice address
1425 NE Franklin Ave
Bremerton, WA 98311-3026
Phone
(360) 479-2323
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Jennifer Lynn Ashmore, DDSNPI 1245309491
Title
Member
Phone
(360) 479-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 8684 WA Primary

Addresses

Primary practice location

1425 NE Franklin Ave
Bremerton, WA 98311-3026

Mailing address

1425 NE Franklin Ave
Bremerton, WA 98311-3026
Phone (360) 479-2323

Other identifiers 1

IdentifierTypeStateIssuer
5044920OtherWAWASHINGTON STATE DEPARTMENT OF SOCIAL & HEALTH SERVICES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1104059013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 NE FRANKLIN AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113026",
            "telephone_number": "360-479-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 NE FRANKLIN AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113026",
            "telephone_number": "360-479-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD & ASHMORE DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-479-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "8684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF SOCIAL & HEALTH SERVICES",
            "identifier": "5044920",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.