Individual provider Active NPI

Velvet Enjoli Martin, DMD

  • General Practice Dentistry
  • Elm City, NC
National Provider Identifier
1871152041
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11440 Issued in NC
Practice address
8282 NC 58 S
Elm City, NC 27822-8079
Phone
(252) 443-7764
Fax
(252) 443-7611
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11440 NC Primary

Addresses

Primary practice location

8282 NC 58 S
Elm City, NC 27822-8079

Mailing address

111 Garwin Dr W Apt 2B
Wilson, NC 27893-2769
Phone (252) 443-7764

Other practice location 1

3740 Evans St
Greenville, NC 27834-5413
Phone (252) 493-4926

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

LicenseStateTypeSpecialty
11440NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Health Centers, Inc General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vmartin298233@direct.ochin.org

Organizations & group practices 1

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1871152041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GARWIN DR W APT 2B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932769",
            "telephone_number": "252-443-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 NC 58 S",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278228079",
            "telephone_number": "252-443-7764",
            "fax_number": "252-443-7611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3740 Evans St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345413",
            "country_code": "US",
            "telephone_number": "252-493-4926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VELVET",
        "middle_name": "ENJOLI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.