NPIMap

Organization Active NPI

Kenneth R Marsh DDS PA

  • Dentist
  • Creedmoor, NC
National Provider Identifier
1548445646
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8579 Issued in NC
Legal business name
KENNETH R MARSH DDS PA
Practice address
1582 Hwy 56
Creedmoor, NC 27522
Phone
(919) 528-1980
Fax
(919) 528-8610
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Kenneth R Marsh, DDSNPI 1285892174
Title
Pres
Phone
(919) 528-1980

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3874 NC
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8579 NC Primary

Addresses

Primary practice location

1582 Hwy 56
Creedmoor, NC 27522

Mailing address

PO Box 596
Creedmoor, NC 27522-0596
Phone (919) 528-1980

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1548445646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275220596",
            "telephone_number": "919-528-1980",
            "fax_number": "919-528-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 HWY 56",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "919-528-1980",
            "fax_number": "919-528-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R MARSH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "919-528-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "3874",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.