Active NPI
Maria Maribel Nevils, DDS
- Dentist
- Fayetteville, NC
National Provider Identifier
1225018450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8016
- Practice address
- 610 Glenville Ave
Fayetteville, NC 28303-4840 - Phone
- (910) 797-8978
- NPI assigned
- Jan 23, 2006
- Last updated
- Dec 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8016 | NC | Primary |
Addresses
Primary practice location
610 Glenville Ave
Fayetteville, NC 28303-4840
Mailing address
PO Box 58372
Fayetteville, NC 28305-8372
Phone (910) 797-8978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225018450 | Other | US GOVERNMENT |
Other names 1
- Maria Maribel Nevils
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8016 | NC | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1225018450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58372",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283058372",
"telephone_number": "910-797-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 GLENVILLE AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034840",
"telephone_number": "910-797-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILS",
"first_name": "MARIA",
"middle_name": "MARIBEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US GOVERNMENT",
"identifier": "1225018450",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "NEVILS",
"middle_name": "MARIBEL",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.