Active NPI
Monica Estes, D.M.D., M.S.D.
- Endodontics
- Moncks Corner, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 8749
- Practice address
- 2900 N Main St Ste G
Moncks Corner, SC 29461-8451 - Phone
- (843) 899-7668
- Fax
- (843) 899-7667
- NPI assigned
- Aug 20, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20536 | FL | |
| Dentist | 122300000X | DN1855391 | MA | |
| Dentist | 122300000X | DGD8749 | SC | |
| Endodontics | 1223E0200X | 8749 | SC | Primary |
Addresses
Primary practice location
2900 N Main St Ste G
Moncks Corner, SC 29461-8451
Mailing address
2900 N Main St Ste G
Moncks Corner, SC 29461-8451
Phone (843) 899-7668
Other practice location 1
1237 Dingle Rd
Mount Pleasant, SC 29466-9386
Phone (603) 986-3686
Other practice location 2
3751 S Live Oak Dr Ste G
Moncks Corner, SC 29461-7903
Phone (603) 986-3686
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8749 | SC | MD | Professional Counselor |
| DN20536 | FL | MD | Dentist |
| DN1855391 | MA | MD | Dentist |
| DGD8749 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Endodontics MB | Endodontics | Current | Accepting new patients |
| Innovative Endodontics | Endodontics | Current | Accepting new patients |
Locations
2900 N Main St
Ste G
Moncks Corner, SC 29461
Phone (843) 899-7668
3033 Newcastle Loop
Myrtle Beach, SC 29588
Phone (843) 900-3414
Organizations & group practices 2
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.
-
- Endodontics
- Moncks Corner, SC
- NPI 1972227684
-
- Endodontics
- Myrtle Beach, SC
- NPI 1912746272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1487960084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N MAIN ST STE G",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618451",
"telephone_number": "843-899-7668",
"fax_number": "843-899-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N MAIN ST STE G",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618451",
"telephone_number": "843-899-7668",
"fax_number": "843-899-7667"
}
],
"practiceLocations": [
{
"address_1": "1237 Dingle Rd",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294669386",
"country_code": "US",
"telephone_number": "603-986-3686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3751 S Live Oak Dr Ste G",
"address_purpose": "LOCATION",
"city": "Moncks Corner",
"state": "SC",
"postal_code": "294617903",
"country_code": "US",
"telephone_number": "603-986-3686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTES",
"first_name": "MONICA",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN20536",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855391",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD8749",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "8749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.