Organization Active NPI

Innovative Endodontics MB

  • Endodontics
  • Myrtle Beach, SC
National Provider Identifier
1912746272
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
INNOVATIVE ENDODONTICS MB
Practice address
3033 Newcastle Loop
Myrtle Beach, SC 29588
Phone
(843) 900-3414
Fax
(843) 377-8695
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Monica R Estes, DMD, MSDNPI 1487960084
Title
Owner, Endodontist
Phone
(603) 986-3686

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3033 Newcastle Loop
Myrtle Beach, SC 29588

Mailing address

227 Stallsville Loop
Suite a
Summerville, SC 29485
Phone (843) 900-3414

National Provider Directory

National Provider Directory

Locations

3033 Newcastle Loop
Myrtle Beach, SC 29588
Phone (843) 900-3414

227 Stallsville Rd
Ste A
Summerville, SC 29485

Practitioners & affiliated clinicians

Practitioners 1

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": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1912746272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 STALLSVILLE LOOP",
            "address_2": "SUITE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "843-900-3414",
            "fax_number": "843-377-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-900-3414",
            "fax_number": "843-377-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ENDODONTICS MB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER, ENDODONTIST",
        "authorized_official_telephone_number": "603-986-3686",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.