Individual provider Active NPI

Ashley Nicole Lapak, DDS

  • Dentist
  • Warrenton, MO
National Provider Identifier
1972096089
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2018019152 Issued in MO
Practice address
19515 Brune Pkwy
Warrenton, MO 63383-6505
Phone
(636) 456-1500
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2018019152 MO Primary

Addresses

Primary practice location

19515 Brune Pkwy
Warrenton, MO 63383-6505

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other names 1

  • Ashley Nicole Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309001988 MO Practitioner - Dentist 3476948480 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018019152MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jan 1, 2022 Accepting new patients
Compass Health, Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

704 E Highway 28
Owensville, MO 65066
Phone (573) 437-2959

102 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 332-8318

2645 Muegge Rd
Saint Charles, MO 63303
Phone (636) 939-6868

101 Progress Pkwy
Sullivan, MO 63080
Phone (573) 468-3555

91 Troy Sq
Troy, MO 63379

1780 Old Highway 50 E
Ste 111
Union, MO 63084
Phone (636) 584-0305

19515 Brune Pkwy
Warrenton, MO 63383
Phone (636) 235-4049

1030 Wolfrum Rd
Weldon Spring, MO 63304
Phone (314) 339-7732

1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1972096089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19515 BRUNE PKWY",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633836505",
            "telephone_number": "636-456-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPAK",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2018019152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "JOHNSON",
            "middle_name": "NICOLE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenton, MO

Sources for this page

Verify at the official NPI Registry.