Monica Henao, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

10195 Issued in NC

Practice address

618 Lakestone Commons Ave
Fuquay Varina, NC 27526-7386

Phone

(984) 326-8443

Fax

(984) 326-7771

NPI assigned

Jun 26, 2015

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Monica Maldonado Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monica Henao DMD PLLC

  • General Practice Dentistry
  • Fuquay Varina, NC
  • NPI 1982462404
  NPD Authorized official
• Perry L. Jeffries DDS PA

  • Pediatric Dentistry
  • Siler City, NC
  • NPI 1255751319
  NPD (past)
• Wilkes Dental Consortium

  • General Practice Dentistry
  • North Wilkesboro, NC
  • NPI 1508380544
  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1245612282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 LAKESTONE COMMONS AVE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267386",
            "telephone_number": "984-326-8443",
            "fax_number": "984-326-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 LAKESTONE COMMONS AVE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267386",
            "telephone_number": "984-326-8443",
            "fax_number": "984-326-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAO",
        "first_name": "MONICA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856930",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10195",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MALDONADO",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dentist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.