Active NPI
Ashton Blake Fioravanti, D.D.S
- Dentist
- Wilkesboro, NC
National Provider Identifier
1669855847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10062
- Practice address
- 1690 River Street
Wilkesboro, NC 28697 - Phone
- (336) 838-9400
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10062 | NC | Primary |
Addresses
Primary practice location
1690 River Street
Wilkesboro, NC 28697
Mailing address
1723 Ash Grove Lane
Clemmons, NC 27012
Phone (919) 468-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10062 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Liner DDS | Dentist | Current | Accepting new patients |
| Liner, Ward & Shobe DDS, PA | Dentist | Past | Accepting new patients |
Locations
1690 River St
Wilkesboro, NC 28697
Phone (336) 838-9400
Organizations & group practices 2
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.
-
- Dentist
- Wilkesboro, NC
- NPI 1255152872
-
- Dentist
- Wilkesboro, NC
- NPI 1053442210
NPI Registry JSON
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": []
}
Other providers in Wilkesboro, NC
Sources for this page
- 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.