Jeffrey Daniel Monaco, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10483 Issued in NC

Practice address

1340 Matthews Township Pkwy
#201
Matthews, NC 28105

Phone

(704) 847-4717

Fax

(585) 273-3485

NPI assigned

May 12, 2014

Last updated

Nov 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Oral Medicine & Maxillofacial Surgery

  • Dentist
  • Charlotte, NC
  • NPI 1104289685
  Medicare reassignment NPD
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Dental Clinic

  • Dentist
  • Charlotte, NC
  • NPI 1114380698
  NPD
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Anson

  • General Acute Care Hospital
  • Wadesboro, NC
  • NPI 1659856060
  NPD
• Pediatric Dentistry of Matthews

  • Pediatric Dentistry
  • Matthews, NC
  • NPI 1104845270
  NPD (past)

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1790196822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MATTHEWS TOWNSHIP PKWY",
            "address_2": "#201",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "585-276-3145",
            "fax_number": "585-273-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MATTHEWS TOWNSHIP PKWY",
            "address_2": "#201",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-847-4717",
            "fax_number": "585-273-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla L Miskovich, D.M.D
• Colee Michelle Mitchell, MD
• Samantha Elaine Mitchell, PHARM D
• Cassidy Marie Modesti, FNP-C
• Louis E Molnar, RPH
• Monarch
• Monarch
• Monarch
• Staci Feldman Mond
• Monica Patel, DMD and Sameer Kashyap, DMD, PLLC

• Pediatric Dentistry in Matthews, NC
• Providers in Matthews, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.