Anthony Edward Marra, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9330 Issued in NC

Practice address

1212 Spruce St
Suite 201
Belmont, NC 28012-3385

Phone

(704) 825-3455

Fax

(704) 825-3480

NPI assigned

Jun 5, 2012

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1760743926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 TORRENCE CIR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369401",
            "telephone_number": "304-290-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SPRUCE ST",
            "address_2": "SUITE 201",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123385",
            "telephone_number": "704-825-3455",
            "fax_number": "704-825-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRA",
        "first_name": "ANTHONY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Boone Manuel, APN
• Lynel Allen Marin-Curd
• Ashlynn Summer Marr
• Jonathan Randolph Marr, LCMHCA
• Kristie Marr, LCSWA
• Marshall a Fleming DMD PLLC
• Jamie Martinez
• Brandon Matheson
• Kenneth C Mathys, M.D.
• Steven Matthew Matta, MS

• General Practice Dentistry in Belmont, NC
• Providers in Belmont, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.