Individual provider Active NPI

Natalie Claire Martinez-Rogers, DMD

  • Dentist
  • Charlotte, NC
National Provider Identifier
1841451432
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22173 Issued in MA
Practice address
9010 Glenwater Dr Ste 104
Charlotte, NC 28262
Phone
(704) 547-1199
Fax
(704) 549-4699
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22173 MA Primary

Addresses

Primary practice location

9010 Glenwater Dr Ste 104
Charlotte, NC 28262

Mailing address

9010 Glenwater Dr Ste 104
Charlotte, NC 28262-8593
Phone (704) 547-1199

Other practice location 1

2100 N Davidson St Ste B
Charlotte, NC 28205-1828
Phone (704) 688-7120

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
I20160621001113 NC Order and Referring Only - DentistPractitioner - Dentist 5496046591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22173MAMDDentist
9657NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie C Martinez-Rogers DMD PA Current Accepting new patients
Natalie C Martinez-Rogers DMD PA Dentist Current Accepting new patients

Locations

9010 Glenwater Dr
Ste 104
Charlotte, NC 28262
Phone (704) 547-1199

2100 N Davidson St
Ste B
Charlotte, NC 28205
Phone (704) 688-7120

Organizations & group practices 2

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1841451432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 GLENWATER DR STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628593",
            "telephone_number": "704-547-1199",
            "fax_number": "704-549-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 GLENWATER DR STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-547-1199",
            "fax_number": "704-549-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Davidson St Ste B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282051828",
            "country_code": "US",
            "telephone_number": "704-688-7120",
            "fax_number": "704-405-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ-ROGERS",
        "first_name": "NATALIE",
        "middle_name": "CLAIRE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.