Individual provider Active NPI

Marshall Alexander Fleming

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1629699566
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11998 Issued in NC
Practice address
1020 Broad St
Durham, NC 27705-4144
Phone
(336) 909-3860
NPI assigned
May 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 11998 NC Primary

Addresses

Primary practice location

1020 Broad St
Durham, NC 27705-4144

Mailing address

1020 Broad St
Durham, NC 27705-4144
Phone (336) 909-3860

Other practice location 1

1303 Plaza Dr
Kings Mountain, NC 28086-2653
Phone (704) 739-7956

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

State licenses

LicenseStateTypeSpecialty
11998NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall a Fleming DMD PLLC General Practice CurrentSince Dec 13, 2022 Accepting new patients

Locations

1020 Broad St
Durham, NC 27705
Phone (336) 909-3860

Organizations & group practices 1

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1629699566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054144",
            "telephone_number": "336-909-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054144",
            "telephone_number": "336-909-3860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280862653",
            "country_code": "US",
            "telephone_number": "704-739-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "MARSHALL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.