Individual provider Active NPI

Monica Estes, D.M.D., M.S.D.

  • Endodontics
  • Moncks Corner, SC
National Provider Identifier
1487960084
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8749 Issued in SC
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

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8749SCMDProfessional Counselor
DN20536FLMDDentist
DN1855391MAMDDentist
DGD8749SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Endodontics MB Endodontics CurrentSince May 26, 2024 Accepting new patients
Innovative Endodontics Endodontics CurrentSince Oct 2, 2022 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.

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.

Verify at the official NPI Registry.