Ashlyn Cate Ghazal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS107156 Issued in CA

Practice address

29950 Haun Rd Ste 302
Menifee, CA 92586-6527

Phone

(951) 679-1667

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Davenport Modern Dentistry, PA

  • Dentist
  • Davenport, FL
  • NPI 1568005999
  NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1265004477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 PACIFIC ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29950 HAUN RD STE 302",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866527",
            "telephone_number": "951-679-1667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1159 Posner Blvd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338373664",
            "country_code": "US",
            "telephone_number": "863-777-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZAL",
        "first_name": "ASHLYN",
        "middle_name": "CATE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26281",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS107156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda A Garrison, MFT
• Alyssa Ann Gasca, LMFT
• Geanes Aesthetic Spa
• Geanes Beautyrx , LLC
• Jami Louise Geanes, LVN
• Kimberly Gil
• Tracy Gilbert
• Daniel Leland Giles
• Anton Gillmore
• Teresa Tasha Glover, REGISTER NURSE

• General Practice Dentistry in Menifee, CA
• Providers in Menifee, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.