NPIMap

Individual provider Active NPI

Esteban Santiago Molina Monge, DDS, CAGS

  • Prosthodontics
  • Auburn, MA
National Provider Identifier
1730812959
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN10000707 Issued in MA
Practice address
176 Auburn St
Auburn, MA 01501-1635
Phone
(508) 316-5469
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN10000707 MA Primary
Prosthodontics 1223P0700X 2901601672 MI

Addresses

Primary practice location

176 Auburn St
Auburn, MA 01501-1635

Mailing address

176 Auburn St
Auburn, MA 01501-1635
Phone (508) 832-5731

Other practice location 1

451 Andover St Ste 208
North Andover, MA 01845-5070
Phone (978) 794-0750

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
DN10000707MAMDProsthodontist
2901601672MIMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Central NE Center for Implant & Cosmetic Dentisry PC Prosthodontics PastSince Aug 25, 2025 Accepting new patients
Central New England Center for Implants and Cosmetic Dentistry PastSince Aug 25, 2025 Accepting new patients
North Andover Dental Partners PLLC Prosthodontics PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 3

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1730812959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 AUBURN ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011635",
            "telephone_number": "508-832-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 AUBURN ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011635",
            "telephone_number": "508-316-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Andover St Ste 208",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018455070",
            "country_code": "US",
            "telephone_number": "978-794-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA MONGE",
        "first_name": "ESTEBAN",
        "middle_name": "SANTIAGO",
        "credential": "DDS, CAGS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN10000707",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901601672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.