Ashton Alexander Tracey, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7481 Issued in OK

Practice address

829 S Air Depot Blvd
Midwest City, OK 73110

Phone

(405) 862-7010

NPI assigned

Jul 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

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.

• Midwest City Dentistry and Braces

  • Dental Clinic/Center
  • Midwest City, OK
  • NPI 1376144089
  NPD
• Lone Grove Dentistry & Braces

  • Dental Clinic/Center
  • Lone Grove, OK
  • NPI 1063051795
  NPD (past)

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1568034601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 S AIR DEPOT BLVD.",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-862-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-862-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13912 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131792",
            "country_code": "US",
            "telephone_number": "405-840-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "ASHTON",
        "middle_name": "ALEXANDER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://smileworxdental.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13912 N Western Ave",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730131792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mwcdds.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "829 S Air Depot Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mwcdds.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "829 S Air Depot Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://smileworxdental.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13912 N Western Ave",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730131792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Toguchi, LMFT
• Kimberly Toledo
• Ashlee Tollison, LPC
• Total Renal Care Inc
• Touchstone Imaging of Oklahoma, LLC
• Laura Trammell, M.ED., LPC
• Quy Tien Tran, M.D.
• Thin Nguyen Tran, DPH
• Transitions Inc.
• Brianne Treadway

• General Practice Dentistry in Midwest City, OK
• Providers in Midwest City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.