Active NPI
Matthew R. Estes, DDS
- General Practice Dentistry
- Midlothian, VA
National Provider Identifier
1639464795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401413248
- Practice address
- 6025 Harbour Park Dr
Midlothian, VA 23112-2160 - Phone
- (804) 739-7391
- NPI assigned
- Jun 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401413248 | VA | Primary |
Addresses
Primary practice location
6025 Harbour Park Dr
Midlothian, VA 23112-2160
Mailing address
6025 Harbour Park Dr
Midlothian, VA 23112-2160
Phone (804) 739-7391
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 |
|---|---|---|---|
| 0401413248 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estes & Koelmel, DDS, PC | General Practice | Past | Accepting new patients |
| Estes & Koelmel DDS, PC | Past | Accepting new patients |
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.
-
- Dentist
- Midlothian, VA
- NPI 1548696032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1639464795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 HARBOUR PARK DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122160",
"telephone_number": "804-739-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 HARBOUR PARK DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122160",
"telephone_number": "804-739-7391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTES",
"first_name": "MATTHEW",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401413248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.