Jack R Ashlock, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4470 Issued in WA

Practice address

6821 N Country Homes Blvd
Ste 202
Spokane, WA 99208-4372

Phone

(509) 327-8681

Fax

(509) 327-8562

NPI assigned

Nov 16, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jack R. Ashlock, DDS PS

  • General Practice Dentistry
  • Spokane, WA
  • NPI 1548309925
  NPD (past) Authorized official

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174505002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 N RIVERWOOD DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183500",
            "telephone_number": "509-468-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD",
            "address_2": "STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084372",
            "telephone_number": "509-327-8681",
            "fax_number": "509-327-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLOCK",
        "first_name": "JACK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "591231",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5397203",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shandra N Ashford, LMSW, AICSW
• Ashley House (Ashley House NW- Spokane)
• Ashley L Ulmer DDS PLLC
• Ashley L Ulmer DDS PLLC
• Jessica Ashley, REGISTERED NURSE
• Carsten Todd Ashton
• Jennifer Aske
• Madison Askew
• Michael Dee Aslin, D.D.S.
• Aspen Functional Health

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.