Organization Active NPI

Marcia L. Rementer, DMD, PA

  • Dentist
  • Durham, NC
National Provider Identifier
1972832723
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5456 Issued in NC
Legal business name
MARCIA L. REMENTER, DMD, PA
Practice address
3811 N Roxboro St
Durham, NC 27704-5800
Phone
(919) 477-3369
Fax
(919) 479-1610
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. Marcia L Rementer, DMD
Title
Owner
Phone
(919) 477-3369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5456 NC Primary

Addresses

Primary practice location

3811 N Roxboro St
Durham, NC 27704-5800

Mailing address

3811 N Roxboro St
Durham, NC 27704-5800
Phone (919) 477-3369

Other identifiers 1

IdentifierTypeStateIssuer
7997341MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1972832723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045800",
            "telephone_number": "919-477-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045800",
            "telephone_number": "919-477-3369",
            "fax_number": "919-479-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA L. REMENTER, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "REMENTER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-477-3369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7997341",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.