Individual provider Active NPI

Amir H Marashi, M.D.,D.D.S

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Charlotte, NC
National Provider Identifier
1083695043
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
01124 Issued in NC
Practice address
10035 Park Cedar Dr
Suite 300
Charlotte, NC 28210-8911
Phone
(704) 542-9600
Fax
(704) 542-9651
NPI assigned
Nov 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 01124 NC Primary

Addresses

Primary practice location

10035 Park Cedar Dr
Suite 300
Charlotte, NC 28210-8911

Mailing address

10035 Park Cedar Dr
Suite 300
Charlotte, NC 28210-8911
Phone (704) 542-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 1, 2013 through Sep 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01124NCMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc PastSince Jan 12, 2020 Accepting new patients
Lewis D Gilbert, DDS, LTD PastSince Jan 15, 2018 Accepting new patients
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083695043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 PARK CEDAR DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108911",
            "telephone_number": "704-542-9600",
            "fax_number": "704-542-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 PARK CEDAR DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108911",
            "telephone_number": "704-542-9600",
            "fax_number": "704-542-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASHI",
        "first_name": "AMIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.,D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "01124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.