NPIMap

Organization Active NPI

Melanie K. Marshall, DDS, MD, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Spencer, NC
National Provider Identifier
1073782033
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6840 Issued in NC
Legal business name
MELANIE K. MARSHALL, DDS, MD, PA
Practice address
902 S Salisbury Ave
Spencer, NC 28159-2065
Phone
(704) 636-7215
Fax
(704) 636-2898
NPI assigned
Feb 25, 2008
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Melanie K. Marshall, MD, DDSNPI 1073532644
Title
Owner
Phone
(704) 636-7215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6840 NC Primary

Addresses

Primary practice location

902 S Salisbury Ave
Spencer, NC 28159-2065

Mailing address

PO Box 29
Spencer, NC 28159-0029
Phone (704) 636-7215

Other identifiers 2

IdentifierTypeStateIssuer
5902037MedicaidNC
5903242MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1073782033",
    "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",
            "fax_number": "704-636-2898"
        },
        {
            "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",
            "fax_number": "704-636-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE K. MARSHALL, DDS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-636-7215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "6840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902037",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903242",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.