Lance David Ashlock, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS00007770 Issued in TN

Practice address

5336 Estate Office Dr
Ste #1
Memphis, TN 38119

Phone

(901) 681-0408

Fax

(901) 681-9753

NPI assigned

Dec 4, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• East Memphis Dental Group

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1497079032
  NPD (past) Authorized official
• Bellano East Memphis, PLLC

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1770075681
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750449690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 ESTATE OFFICE DR",
            "address_2": "STE #1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-681-0408",
            "fax_number": "901-681-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 ESTATE OFFICE DR",
            "address_2": "STE #1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-681-0408",
            "fax_number": "901-681-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLOCK",
        "first_name": "LANCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS00007770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faisal Ashfaq, MD
• Ashley Robinson
• Trenavia Monique Ashley-Louis, PHARMD
• Anna Elizabeth Ashley, DO
• Ashleys Total Care LLC
• Ashok Kara PHD PC
• Omer Asif Siddiqui, M.D.
• Lasheryl Askew, LPC-MHSP
• Kelly M Askins, MD
• Aspire Behavioral Health, Inc.

• All providers in Memphis, TN
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.