Ashley Rose Fleck, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11564 Issued in TN

Practice address

474 Industrial LN
Oneida, TN 37841-6294

Phone

(423) 569-3800

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Female

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

Enrolled in TN

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Peoples Health Councils Inc

  dba Mountain Peoples Oneida Clinic

  • Federally Qualified Health Center (FQHC)
  • Oneida, TN
  • NPI 1871594333
  Medicare reassignment NPD
• Mountain People's Health Councils, Inc

  • Federally Qualified Health Center (FQHC)
  • Oneida, TN
  • NPI 1649011875
  NPD
• Mountain Peoples Health Councils Inc

  • Dental Clinic/Center
  • Oneida, TN
  • NPI 1649635939
  NPD
• Mountain Peoples Health Councils Inc

  dba Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, TN
  • NPI 1720043615
  NPD
• Mountain Peoples Health Councils Inc.

  dba Huntsville Primary Care Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, TN
  • NPI 1326049347
  NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1972170249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MUNICH DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416294",
            "telephone_number": "423-569-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Munich Dr",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585047038",
            "country_code": "US",
            "telephone_number": "701-527-1751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLECK",
        "first_name": "ASHLEY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Faires
• Family and Pediatric Care Clinic LLC
• Family First Urgent Care & Wellness
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Leisha Danielle Foster, LMSW
• Talon Free
• Wesley Colton Frisbee
• Mercedes Goodman, NP
• Justin Robert Goodridge, DC

• General Practice Dentistry in Oneida, TN
• Providers in Oneida, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.