Organization Active NPI

Marcia L Rementer DMD PA II

  • General Practice Dentistry
  • Siler City, NC
National Provider Identifier
1952492811
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5456 Issued in NC
Legal business name
MARCIA L REMENTER DMD PA II
Doing business as
Chatham Dental Care
Practice address
100 Village Lake Road
Siler City, NC 27344
Phone
(919) 663-4000
Fax
(919) 663-1957
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Mr. Denis Raczkowski
Title
Co Owner Office Manager
Phone
(919) 477-3369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5456 NC Primary

Addresses

Primary practice location

100 Village Lake Road
Siler City, NC 27344

Mailing address

100 Village Lake Road
Siler City, NC 27344
Phone (919) 663-4000

Other identifiers 1

IdentifierTypeStateIssuer
5906440MedicaidNC

Other names 1

  • Chatham Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1952492811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE LAKE ROAD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "27344",
            "telephone_number": "919-663-4000",
            "fax_number": "919-663-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE LAKE ROAD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "27344",
            "telephone_number": "919-663-4000",
            "fax_number": "919-663-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA L REMENTER DMD PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "RACZKOWSKI",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "CO OWNER OFFICE MANAGER",
        "authorized_official_telephone_number": "919-477-3369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906440",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Siler City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.