Individual provider Active NPI

Hector Estepan, MD

  • General Practice Physician
  • Lenoir, NC
National Provider Identifier
1124142369
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1310531 Issued in NY
Practice address
1345 NC Highway 268
Lenoir, NC 28645-9027
Phone
(828) 754-6850
Fax
(828) 757-3214
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1310531 NY Primary

Addresses

Primary practice location

1345 NC Highway 268
Lenoir, NC 28645-9027

Mailing address

PO Box 319
Patterson, NC 28661-0319
Phone (828) 754-6850

Other identifiers 1

IdentifierTypeStateIssuer
00131053MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1310531NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital PastSince Nov 1, 2010 Accepting new patients
Lifespire, Inc. Past Accepting new patients
Lifespire, Inc. Past Accepting new patients
Empress Ambulance Service LLC Past Accepting new patients

Organizations & group practices 4

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124142369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "PATTERSON",
            "state": "NC",
            "postal_code": "286610319",
            "telephone_number": "828-754-6850",
            "fax_number": "828-757-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NC HIGHWAY 268",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286459027",
            "telephone_number": "828-754-6850",
            "fax_number": "828-757-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEPAN",
        "first_name": "HECTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "1310531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00131053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.