Michael P Estivo III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61463 Issued in KS

Practice address

110 Hospital Dr
Smithville, MO 64089-9333

Phone

(816) 873-3260

NPI assigned

Jul 13, 2018

Last updated

Dec 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hildebrand Estivo Dental LLC

  • General Practice Dentistry
  • Plattsburg, MO
  • NPI 1356239214
  NPD (past)

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1477039303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899333",
            "telephone_number": "316-648-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899333",
            "telephone_number": "816-873-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 W Clay Ave",
            "address_purpose": "LOCATION",
            "city": "Plattsburg",
            "state": "MO",
            "postal_code": "644771331",
            "country_code": "US",
            "telephone_number": "816-539-2125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18225 MO 45",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "MO",
            "postal_code": "64098",
            "country_code": "US",
            "telephone_number": "816-873-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTIVO",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61463",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018026921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Smithville, MO
• Providers in Smithville, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.