Individual provider Active NPI

Michael Ellis Garvin, DMD

  • General Practice Dentistry
  • Sylva, NC
National Provider Identifier
1457335184
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10872 Issued in NC
Practice address
316 County Services Park
Sylva, NC 28779-5713
Phone
(828) 586-1200
Fax
(828) 586-0047
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2796 SC
General Practice Dentistry 1223G0001X 10872 NC Primary

Addresses

Primary practice location

316 County Services Park
Sylva, NC 28779-5713

Mailing address

316 County Services Park
Sylva, NC 28779-5713
Phone (828) 586-1200

Other practice location 1

3295 Forney St
Fort Jackson, SC 29207-5604
Phone (803) 751-6213

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
I20180125002199 NC Practitioner - Dentist 4486913134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University General Practice CurrentSince Nov 8, 2017 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Nov 8, 2017 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

316 County Services Park
Sylva, NC 28779
Phone (828) 586-1200

Organizations & group practices 3

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457335184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 COUNTY SERVICES PARK",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795713",
            "telephone_number": "828-586-1200",
            "fax_number": "828-586-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 COUNTY SERVICES PARK",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795713",
            "telephone_number": "828-586-1200",
            "fax_number": "828-586-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3295 Forney St",
            "address_purpose": "LOCATION",
            "city": "Fort Jackson",
            "state": "SC",
            "postal_code": "292075604",
            "country_code": "US",
            "telephone_number": "803-751-6213",
            "fax_number": "803-751-6886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "MICHAEL",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2796",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.