Active NPI
Emilio Naval Marty, DMD
- General Practice Dentistry
- Kinston, NC
National Provider Identifier
1649374158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10918
- Practice address
- 324 N Queen St
Kinston, NC 28501-4932 - Phone
- (252) 522-9800
- Fax
- (252) 523-9790
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1700 | PR | |
| General Practice Dentistry | 1223G0001X | 10918 | NC | Primary |
Addresses
Primary practice location
324 N Queen St
Kinston, NC 28501-4932
Mailing address
324 N Queen St
Kinston, NC 28501-4932
Phone (252) 522-9800
Other practice location 1
261 Belvoir Hwy
Greenville, NC 27834-8193
Phone (252) 695-6352
Other names 1
- Emilio Naval Marty Laracuente
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1700 | PR | MD | Dentist |
| 10918 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1649374158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 N QUEEN ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285014932",
"telephone_number": "252-522-9800",
"fax_number": "252-523-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 N QUEEN ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285014932",
"telephone_number": "252-522-9800",
"fax_number": "252-523-9790"
}
],
"practiceLocations": [
{
"address_1": "261 Belvoir Hwy",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278348193",
"country_code": "US",
"telephone_number": "252-695-6352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTY",
"first_name": "EMILIO",
"middle_name": "NAVAL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1700",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILIO",
"last_name": "MARTY LARACUENTE",
"middle_name": "NAVAL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.