Organization Active NPI

Ash Lake Wellness, Inc.

Doing business as Active Approach Chiropractic

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1649457110
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ASH LAKE WELLNESS, INC.
Doing business as
Active Approach Chiropractic
Practice address
3701 S Harvard Ave Ste D
Tulsa, OK 74135-2282
Phone
(918) 938-6801
Fax
(918) 938-6802
NPI assigned
Jan 28, 2008
Last updated
Feb 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Dr. Cale Ashlock, DCNPI 1821574914
Title
Owner
Phone
(918) 938-6801

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3701 S Harvard Ave Ste D
Tulsa, OK 74135-2282

Mailing address

3701 S Harvard Ave Ste D
Tulsa, OK 74135-2282
Phone (918) 938-6801

Other names 1

  • Active Approach Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000162 OK Part B Supplier - Clinic/Group Practice 8628140076 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

3701 S Harvard Ave
Ste D
Tulsa, OK 74135
Phone (918) 938-6801

3711 S Harvard Ave
Ste E
Tulsa, OK 74135
Phone (918) 938-6801

8124 S Harvard Ave
Tulsa, OK 74137
Phone (918) 938-6801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1649457110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S HARVARD AVE STE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352282",
            "telephone_number": "918-938-6801",
            "fax_number": "918-938-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S HARVARD AVE STE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352282",
            "telephone_number": "918-938-6801",
            "fax_number": "918-938-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASH LAKE WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "ASHLOCK",
        "authorized_official_first_name": "CALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-938-6801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Approach Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.