Individual provider Active NPI

Bryce Ashton, DDS

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1881203974
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107056 Issued in CA
Practice address
3453 Brookside Rd Ste a
Stockton, CA 95219-1788
Phone
(209) 955-1500
NPI assigned
Jul 24, 2020
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2020022423 MO
General Practice Dentistry 1223G0001X 61723 KS
General Practice Dentistry 1223G0001X 107056 CA Primary

Addresses

Primary practice location

3453 Brookside Rd Ste a
Stockton, CA 95219-1788

Mailing address

3453 Brookside Rd Ste a
Stockton, CA 95219-1788
Phone (209) 955-1500

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
107056CAMDGeneral Practice Dentistry
61723KSMDGeneral Practice Dentistry
2020022423MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Maan Dental Corporation PastSince Mar 12, 2024 Accepting new patients
Celsus LLC General Practice PastSince Sep 1, 2020 Accepting new patients
Image Dental PastSince Mar 12, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1881203974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 BROOKSIDE RD STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191788",
            "telephone_number": "209-955-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 BROOKSIDE RD STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191788",
            "telephone_number": "209-955-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTON",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-03-06",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020022423",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61723",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.