Ashton Blake Fioravanti, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

10062 Issued in NC

Practice address

1690 River Street
Wilkesboro, NC 28697

Phone

(336) 838-9400

NPI assigned

Jul 7, 2015

Last updated

Jun 28, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jonathan Liner DDS

  dba Southern Dental

  • Dentist
  • Wilkesboro, NC
  • NPI 1255152872
  NPD
• Liner, Ward & Shobe DDS, PA

  dba Southern Dental Associates

  • Dentist
  • Wilkesboro, NC
  • NPI 1053442210
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1669855847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 ASH GROVE LANE",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "27012",
            "telephone_number": "919-468-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 RIVER STREET",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "28697",
            "telephone_number": "336-838-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORAVANTI",
        "first_name": "ASHTON",
        "middle_name": "BLAKE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Watkins Everidge, LPTA
• Erica Falls, LCSWA
• Lorenz Vassa Falls
• Family Chiropractic PC
• Fathom Counseling, PLLC
• Kimberly Eldridge Forester, LPC
• Anna Foster, MS, OTR/L
• Kenneth Russell Foster, M.A./ED.S.
• Christine Gambill, LCSW
• Amy K. Gardner, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.