DR. JACK R ASHLOCK DDS
NPI 1174505002
Dentist - General Practice in Spokane, WA

Active since November 16, 2005PECOS Enrolled
6821 N COUNTRY HOMES BLVD, STE 202, SPOKANE, WA 99208(509) 327-8681(509) 327-8562 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack R Ashlock Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK R ASHLOCK DDS (NPI 1174505002) is an individual general practice provider in Spokane, Washington, licensed in Washington (4470) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174505002
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK R ASHLOCKCredential: DDS
Location Address6821 N COUNTRY HOMES BLVD, STE 202Spokane, WA 99208-4372
Mailing Address12105 N Riverwood DrSpokane, WA 99218-3500 · (509) 468-2068
Fax(509) 327-8562
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateJuly 9, 2007
NPI 1174505002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 4470
Definition
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.
6821 N COUNTRY HOMES BLVD, Spokane, WA 99208

Other Identifiers 2

Medicaid5397203WA
Other591231WA · United Concordia Provider

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jack R Ashlock Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
6821 N COUNTRY HOMES BLVD, SUITE 102
SPOKANE, WA 99208
Dentist
6821 N COUNTRY HOMES BLVD, SUITE 202
SPOKANE, WA 99208
Physical Therapist
6821 N COUNTRY HOMES BLVD, SUITE 102
SPOKANE, WA 99208
Dentist (General Practice)
6821 N COUNTRY HOMES BLVD, SUITE 202A
SPOKANE, WA 99208
Physical Therapist
6821 N COUNTRY HOMES BLVD, SUITE 102
SPOKANE, WA 99208
Dentist
6821 N COUNTRY HOMES BLVD, SRE.#202
SPOKANE, WA 99208
Dentist (General Practice)
6821 N COUNTRY HOMES BLVD
SPOKANE, WA 99208
Dentist (General Practice)
6821 N COUNTRY HOMES BLVD, STE 202
SPOKANE, WA 99208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Ashlock's NPI number?

The NPI number for Jack Ashlock is 1174505002. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Jack Ashlock located?

Jack Ashlock practices at 6821 N Country Homes Blvd Ste 202, Spokane, WA 99208. The listed phone number is (509) 327-8681.

What is Jack Ashlock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jack Ashlock enrolled in Medicare?

Yes. Jack Ashlock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Ashlock was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.