Active NPI
Wesley Marsh, DMD
- General Practice Dentistry
- Mt Holly, NC
National Provider Identifier
1851775027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33883
- Practice address
- 176 Palomino TRL
Mt Holly, NC 28120 - Phone
- (704) 860-7278
- NPI assigned
- Jul 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10044 | NC | |
| General Practice Dentistry | 1223G0001X | 33883 | TX | Primary |
Addresses
Primary practice location
176 Palomino TRL
Mt Holly, NC 28120
Mailing address
176 Palomino TRL
Mt Holly, NC 28120-9670
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 |
|---|---|---|---|
| 33883 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 10044 | NC | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1851775027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 PALOMINO TRL",
"city": "MT HOLLY",
"state": "NC",
"postal_code": "281209670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 PALOMINO TRL",
"city": "MT HOLLY",
"state": "NC",
"postal_code": "28120",
"telephone_number": "704-860-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10044",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Holly, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.