Individual provider Active NPI

Ashley Jane Blanchfield, D.D.S.

  • Pediatric Dentistry
  • Battle Ground, WA
National Provider Identifier
1467890541
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60935386 Issued in WA
Practice address
101 NW 12TH Ave Ste 130
Battle Ground, WA 98604-9145
Phone
(360) 666-0530
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 016.0131058 VT
Pediatric Dentistry 1223P0221X DE60935386 WA Primary

Addresses

Primary practice location

101 NW 12TH Ave Ste 130
Battle Ground, WA 98604-9145

Mailing address

320 Bunker Hollow Rd
Doylestown, PA 18901-2890
Phone (609) 472-4256

Other practice location 1

3245 Hospital Dr
Juneau, AK 99801-7809
Phone (907) 463-4000

Other practice location 2

303 Route 5 S Unit 2
Norwich, VT 05055-9466
Phone (802) 649-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016.0131058VTMDPediatric Dentist
DE60935386WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Pediatric Dentistry PC Pediatric Dentistry Current Accepting new patients
Just Kids Pediatric Dentistry, PLC Pediatric Dentistry PastSince Jun 28, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1467890541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BUNKER HOLLOW RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012890",
            "telephone_number": "609-472-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 12TH AVE STE 130",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049145",
            "telephone_number": "360-666-0530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017809",
            "country_code": "US",
            "telephone_number": "907-463-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Route 5 S Unit 2",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "VT",
            "postal_code": "050559466",
            "country_code": "US",
            "telephone_number": "802-649-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHFIELD",
        "first_name": "ASHLEY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VT",
            "license": "016.0131058",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60935386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.