Ashley Loran Conley-Fasone, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12834 Issued in NC

Practice address

8418 New Town Rd
Waxhaw, NC 28173-8302

Phone

(047) 843-2880

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southlake Family Dentistry LLC

  • General Practice Dentistry
  • Fort Mill, SC
  • NPI 1487670667
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1538814769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 KINDER LN",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 NEW TOWN RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738302",
            "telephone_number": "047-843-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 Gold Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297088202",
            "country_code": "US",
            "telephone_number": "803-548-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY-FASONE",
        "first_name": "ASHLEY",
        "middle_name": "LORAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10190",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collins Clinic of Chiropractic & Sports Medicine, P.a.
• Galen Ray Collins, D.C.
• Stephanie Colson
• Lauren Cates Colucci, PT, DPT
• Emily Claire Colvin, OTR/L
• Neha Contractor
• Madelyn Healy Cook
• Jennifer Walker Cooney, LPC, NCC
• Debra L Corbett, MS, NCC, LPC
• Caroline Corzine, LCSW

• Dentist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.