Individual provider Active NPI

Nicole J. Messenger, DMD

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1114216710
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10215 Issued in NC
Practice address
2206 Page Rd Ste 103
Durham, NC 27703-7711
Phone
(585) 314-8584
Fax
(919) 596-7844
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10215 NC Primary

Addresses

Primary practice location

2206 Page Rd Ste 103
Durham, NC 27703-7711

Mailing address

2206 Page Rd Ste 103
Durham, NC 27703-7711
Phone (919) 596-1219

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160525003180 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022308428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole J. Messenger, DMD, PLLC CurrentSince Jan 15, 2023 Accepting new patients
Thomas E. Brooks, D.D.S., P.a. General Practice Past Accepting new patients

Locations

2206 Page Rd
Ste 103
Durham, NC 27703
Phone (585) 314-8584

Organizations & group practices 2

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1114216710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 PAGE RD STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037711",
            "telephone_number": "919-596-1219",
            "fax_number": "919-596-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 PAGE RD STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037711",
            "telephone_number": "585-314-8584",
            "fax_number": "919-596-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSENGER",
        "first_name": "NICOLE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.