Organization Active NPI

Michael Martinsen DDS, PLLC

Doing business as Fairview Dental

  • Dental Clinic/Center
  • Fairview, NC
National Provider Identifier
1346865482
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL MARTINSEN DDS, PLLC
Doing business as
Fairview Dental
Practice address
12 Old Fort Rd
Fairview, NC 28730-9758
Phone
(828) 628-3504
NPI assigned
Jun 15, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Michael Martinsen, DDSNPI 1811486954
Title
Owner
Phone
(828) 628-3504

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12 Old Fort Rd
Fairview, NC 28730-9758

Mailing address

12 Old Fort Rd
Fairview, NC 28730-9758
Phone (828) 628-3504

Other names 1

  • Fairview Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1346865482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OLD FORT RD",
            "city": "FAIRVIEW",
            "state": "NC",
            "postal_code": "287309758",
            "telephone_number": "828-628-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OLD FORT RD",
            "city": "FAIRVIEW",
            "state": "NC",
            "postal_code": "287309758",
            "telephone_number": "828-628-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MARTINSEN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "MARTINSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-628-3504",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.