Active NPI
Monique Hudson-Charles-Pierre, DDS
- General Practice Dentistry
- Monroe, NC
National Provider Identifier
1063584654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7370
- Practice address
- 1139B N Charlotte Ave
Monroe, NC 28110 - Phone
- (704) 289-1105
- Fax
- (704) 289-6269
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7370 | NC | Primary |
Addresses
Primary practice location
1139B N Charlotte Ave
Monroe, NC 28110
Mailing address
1139B N Charlotte Ave
Monroe, NC 28110
Phone (704) 289-1105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899019K | Medicaid | NC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7370 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Rake, DDS, P.C. | Current | Accepting new patients |
Locations
8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112
201 McCullough Dr
Ste 180
Charlotte, NC 28262
Phone (704) 228-8495
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": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1063584654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139B N CHARLOTTE AVE",
"city": "MONROE",
"state": "NC",
"postal_code": "28110",
"telephone_number": "704-289-1105",
"fax_number": "704-289-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139B N CHARLOTTE AVE",
"city": "MONROE",
"state": "NC",
"postal_code": "28110",
"telephone_number": "704-289-1105",
"fax_number": "704-289-6269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON-CHARLES-PIERRE",
"first_name": "MONIQUE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899019K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.