Marguerite Marie Van Der Vorst

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13258 Issued in NC

Practice address

89 N Mitchell Ave
Bakersville, NC 28705-6502

Phone

(828) 537-5991

NPI assigned

May 3, 2023

Last updated

May 31, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Community Health Partnership Incorporated

  • Federally Qualified Health Center (FQHC)
  • Burnsville, NC
  • NPI 1568914521
  NPD (past)
• Mountain Community Health Partnership Incorporated

  • Federally Qualified Health Center (FQHC)
  • Burnsville, NC
  • NPI 1831799667
  NPD (past)

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1053000315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 N MITCHELL AVE",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287056502",
            "telephone_number": "828-537-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 N MITCHELL AVE",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287056502",
            "telephone_number": "828-537-5991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 MacGregor Downs Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345925",
            "country_code": "US",
            "telephone_number": "252-737-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DER VORST",
        "first_name": "MARGUERITE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13258",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Silver, FNP
• Barbara Anne Stagg, M.D.
• Brittany F Thomason
• Toe River Health District
• Toe River Health District (Mitchell County Health Department)
• Kimberly Westall, LPC
• Kathy Wike, CNM
• Brandi Briggs Wilson, NP-C
• Brooke Wilson, LCMHCA
• Arch NMN Woodard, M.D.

• General Practice Dentistry in Bakersville, NC
• Providers in Bakersville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.