Organization Active NPI

James Randall Marshall DMD PLLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1699476010
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAMES RANDALL MARSHALL DMD PLLC
Practice address
4715 Dixie River Rd Ste a
Charlotte, NC 28278-6737
Phone
(980) 224-7192
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Dr. James Marshall, DMD
Title
Owner / Dentist
Phone
(980) 224-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4715 Dixie River Rd Ste a
Charlotte, NC 28278-6737

Mailing address

4715 Dixie River Rd Ste a
Charlotte, NC 28278-6737
Phone (980) 224-7192

Other names 1

  • River Vista Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4715 Dixie River Rd
Ste A
Charlotte, NC 28278
Phone (980) 224-7192

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1699476010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 DIXIE RIVER RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786737",
            "telephone_number": "980-224-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 DIXIE RIVER RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786737",
            "telephone_number": "980-224-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES RANDALL MARSHALL DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "980-224-7192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Vista Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.