Individual provider Active NPI

Marcella C. Sockwell, DDS

  • Dentist
  • Oxford, NC
National Provider Identifier
1013006741
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5799 Issued in NC
Practice address
111 E Industry Dr
Oxford, NC 27565-3559
Phone
(919) 693-8922
Fax
(919) 693-4444
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5799 NC Primary

Addresses

Primary practice location

111 E Industry Dr
Oxford, NC 27565-3559

Mailing address

PO Box 1142
Oxford, NC 27565-1142
Phone (919) 693-8922

Other identifiers 2

IdentifierTypeStateIssuer
91694OtherNCBCBSNC PROVIDER ID NUMBER
5799OtherNCLICENSE NUMBER

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

LicenseStateTypeSpecialty
5799NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney W. Sockwell,DDS, PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1013006741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275651142",
            "telephone_number": "919-693-8922",
            "fax_number": "919-693-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E INDUSTRY DR",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653559",
            "telephone_number": "919-693-8922",
            "fax_number": "919-693-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCKWELL",
        "first_name": "MARCELLA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER ID NUMBER",
            "identifier": "91694",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5799",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.