NPIMap

Organization Active NPI

Dr. Phillip Estes, DMD, PA

  • Dentist
  • Melbourne, FL
National Provider Identifier
1770799801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. PHILLIP ESTES, DMD, PA
Practice address
38 Suntree PL
Suite 1
Melbourne, FL 32940-7604
Phone
(321) 259-9511
Fax
(321) 255-4644
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Scott Fowler, DMDNPI 1457544371
Title
Dentist
Phone
(321) 259-9511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

38 Suntree PL
Suite 1
Melbourne, FL 32940-7604

Mailing address

38 Suntree PL
Suite 1
Melbourne, FL 32940-7604
Phone (321) 259-9511

National Provider Directory

National Provider Directory

Locations

38 Suntree Pl
Ste 1
Melbourne, FL 32940
Phone (321) 259-8009

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770799801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SUNTREE PL",
            "address_2": "SUITE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407604",
            "telephone_number": "321-259-9511",
            "fax_number": "321-255-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SUNTREE PL",
            "address_2": "SUITE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407604",
            "telephone_number": "321-259-9511",
            "fax_number": "321-255-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PHILLIP ESTES, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-259-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.