DR. JACK R ASHLOCK (NPI# 1174505002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174505002 |
| Entity Type | Individual |
| Full Name | DR. JACK R ASHLOCK |
| Credential | DDS |
| Practice Address |
6821 N Country Homes Blvd Ste 202 Spokane WA 99208-4372 |
| Mailing Address |
12105 N Riverwood Dr Spokane WA 99218-3500 |
| Practice Telephone | 5093278681 |
| Practice Fax Number | 5093278562 |
| Mailing Telephone | 5094682068 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4470 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5397203 | 05 | |
| WA | UNITED CONCORDIA PROVIDER | 591231 | 01 |
| Street Address |
6821 N COUNTRY HOMES BLVD STE 202 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-4372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661075 | Jennifer Payette | Nurse Practitioner | 6821 N Country Homes Blvd, Spokane, WA 99208-4372 | 2018-09-04 |
| 1528518453 | Nicolas Gallegos | Dentist | 6821 N Country Homes Blvd, Spokane, WA 99208-4372 | 2016-10-04 |
| 1952733800 | Patrick Bradley, Dds, Pllc | Clinic/Center | 6821 N Country Homes Blvd, Suite 201, Spokane, WA 99208-4372 | 2013-08-02 |
| 1265709307 | Edward G Torrison | Dentist | 6821 N Country Homes Blvd, Suite 202, Spokane, WA 99208-4372 | 2011-11-17 |
| 1568759694 | Patrick Connor Bradley | Dentist | 6821 N Country Homes Blvd, Suite 201, Spokane, WA 99208-4372 | 2011-07-10 |
| 1639380991 | George H Nauert Dds Ps | Dentist | 6821 N Country Homes Blvd, Suite 204, Spokane, WA 99208-4376 | 2007-05-25 |
| 1831316199 | Five Mile Eye Care Inc | Optometrist | 6821 N Country Homes Blvd, #101, Spokane, WA 99208-4372 | 2007-04-19 |
| 1548309925 | Jack R. Ashlock, Dds Ps | Dentist | 6821 N Country Homes Blvd, Ste 202, Spokane, WA 99208-4372 | 2007-02-05 |
| 1477630655 | Mary B Correll | Dentist | 6821 N Country Homes Blvd, Sre.#202, Spokane, WA 99208-4372 | 2006-11-01 |
| 1295818748 | Northside Physical Therapy Ps | Physical Therapist | 6821 N Country Homes Blvd, Suite 102, Spokane, WA 99208-4372 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662303 | Dr. Teemu J Scarborough Dds PC | Dentist | 707 W Francis Ave Ste 100, Spokane, WA 99205-6401 | 2020-09-08 |
| 1932682374 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 2807 S Stone St Ste 102, Spokane, WA 99223-4904 | 2018-09-12 |
| 1821582735 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 1520 W Garland Ave Ste A, Spokane, WA 99205-2613 | 2018-06-15 |
| 1689175309 | Evolution Dental Alliance | Dentist | 507 S Washington St Ste 190, Spokane, WA 99204-2608 | 2018-02-27 |
| 1528411600 | Richard G Witter, Dds | Dentist | 3150 E 27th Ave # 200, Spokane, WA 99223-4919 | 2016-07-13 |
| 1922461409 | Michael Davis Dmd Pllc | Dentist | 15 E Central Ave Ste 2, Spokane, WA 99208-1109 | 2016-04-01 |
| 1174938500 | Heather Marie Moore | Dentist | 101 W. Cascade Way Suite 202, Cascade Dental Care, Spokane, WA 99208-6016 | 2014-06-24 |
| 1235550898 | Penelope Walpole | Dentist | 9802 E. Holman Rd, Spokane, WA 99206 | 2013-12-30 |
| 1437590338 | Thomas A Stein | Dentist | 520 S Cowley St Ste 105, Spokane, WA 99202-1315 | 2013-07-09 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.