Organization Active NPI

Dr. Marti L. Cherry D.D.S.,P.a.

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1194933598
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC7416 Issued in NC
Legal business name
DR. MARTI L. CHERRY D.D.S.,P.A.
Practice address
2620 W. Arrowood Road
Suite 100
Charlotte, NC 28273
Phone
(704) 831-6349
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Marti L Cherry, D.D.S.NPI 1295959559
Title
Doctor
Phone
(704) 831-6349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NC7416 NC Primary

Addresses

Primary practice location

2620 W. Arrowood Road
Suite 100
Charlotte, NC 28273

Mailing address

2620 W Arrowood Rd
Suite 100
Charlotte, NC 28273-6134
Phone (704) 831-6349

Other identifiers 1

IdentifierTypeStateIssuer
89902N5MedicaidNC

National Provider Directory

National Provider Directory

Locations

2620 W Arrowood Rd
Ste 100
Charlotte, NC 28273
Phone (704) 831-6349

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1194933598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 W ARROWOOD RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736134",
            "telephone_number": "704-831-6349",
            "fax_number": "704-831-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W. ARROWOOD ROAD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28273",
            "telephone_number": "704-831-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARTI L. CHERRY D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-831-6349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC7416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902N5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.