Melanie Kristen Marshall, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8640 Issued in NC

Practice address

902 S Salisbury Ave
Spencer, NC 28159-2065

Phone

(704) 636-7215

NPI assigned

Jul 18, 2006

Last updated

Aug 11, 2014By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 30, 2024 through Dec 30, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Melanie K. Marshall, DDS, MD, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Spencer, NC
  • NPI 1073782033
  Authorized official Same address or phone
• Chisohlm Chukwu II PLLC

  dba Rowan Dental Implants and Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Spencer, NC
  • NPI 1659296416
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1073532644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281590029",
            "telephone_number": "704-636-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S SALISBURY AVE",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281592065",
            "telephone_number": "704-636-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MELANIE",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8640",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200401268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902037",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903242",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren Jones
• Kerr Drug Inc (Kerr Drug)
• Gail Key Kimball, APRN, A/GNP-C
• Jennifer Carole Linn, RN
• Pamela Dawn Lowe, PT
• Melanie K. Marshall, DDS, MD, PA
• Amber Grace Murray
• Denise Shand Naclerio, COTA
• New Beginnings Home Service
• Brandi Cheri Nuriddin-Jones, FNP

• Oral and Maxillofacial Surgery (Dentist) in Spencer, NC
• Providers in Spencer, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.