Individual provider Active NPI

Emily Brooke Wheeler Maltba, DMD

  • General Practice Dentistry
  • Spruce Pine, NC
National Provider Identifier
1578184347
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11868 Issued in NC
Practice address
54 Broad St
Spruce Pine, NC 28777-8937
Phone
(828) 765-7383
NPI assigned
May 2, 2020
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11868 NC Primary

Addresses

Primary practice location

54 Broad St
Spruce Pine, NC 28777-8937

Mailing address

54 Broad St
Spruce Pine, NC 28777-8937
Phone (828) 765-7383

Other names 1

  • Dr. Emily Brooke Wheeler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emilymaltba@sprucepinedental.com

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
I20260219001839 NC Practitioner - Dentist 9537649306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
East Carolina University School of Dentistry, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1851 Macgregor Downs Rd
Greenville, NC 27834-5925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11868NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Mar 1, 2026 Accepting new patients
East Carolina University CurrentSince Mar 1, 2026 Accepting new patients
Emily B Wheeler Maltba DMD PLLC Current Accepting new patients
Nicole J Manigault DDS PLLC PastSince Dec 10, 2023 Accepting new patients
Jim a. Harrell, Jr., D.D.S., PA General Practice PastSince Feb 1, 2022 Accepting new patients

Locations

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

179 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-0110

54 Broad St
Spruce Pine, NC 28777
Phone (828) 765-7383

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1578184347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BROAD ST",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287778937",
            "telephone_number": "828-765-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BROAD ST",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287778937",
            "telephone_number": "828-765-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER MALTBA",
        "first_name": "EMILY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilymaltba@sprucepinedental.com",
            "affiliation": "N",
            "address_1": "54 Broad St",
            "city": "Spruce Pine",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287778937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WHEELER",
            "middle_name": "BROOKE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spruce Pine, NC

Sources for this page

Verify at the official NPI Registry.