Active NPI
Marco Aurelio De Carvalho, DDS, MSC, PHD
- General Practice Dentistry
- Chapel Hill, NC
National Provider Identifier
1417784190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0288
- Practice address
- 385 S Columbia St
Chapel Hill, NC 27514-4309 - Phone
- (919) 537-3726
- NPI assigned
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0288 | NC | |
| Prosthodontics | 1223P0700X | 0288 | NC | |
| General Practice Dentistry | 1223G0001X | 0288 | NC | Primary |
Addresses
Primary practice location
385 S Columbia St
Chapel Hill, NC 27514-4309
Mailing address
385 S Columbia St
Chapel Hill, NC 27514-4309
Phone (919) 537-3726
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0288 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1417784190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 S COLUMBIA ST",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144309",
"telephone_number": "919-537-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 S COLUMBIA ST",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144309",
"telephone_number": "919-537-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CARVALHO",
"first_name": "MARCO",
"middle_name": "AURELIO",
"name_prefix": "Prof.",
"credential": "DDS, MSC, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-17",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "0288",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NC",
"license": "0288",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "0288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.