Active NPI
Mark Edward Estey, D.D.S.
- Dentist
- Redlands, CA
National Provider Identifier
1942501051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 45253
- Practice address
- 1806 Orange Tree LN
Suite B
Redlands, CA 92374-4569 - Phone
- (909) 335-1166
- Fax
- (909) 335-1375
- NPI assigned
- Nov 4, 2010
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 45253 | CA | Primary |
Addresses
Primary practice location
1806 Orange Tree LN
Suite B
Redlands, CA 92374-4569
Mailing address
1806 Orange Tree LN
Suite B
Redlands, CA 92374-4569
Phone (909) 335-1166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170801000402 | CA | Order and Referring Only - Dentist | 5496026023 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45253 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estey and Carpenter Dental Corporation | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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
- Redlands, CA
- NPI 1326474370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1942501051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 ORANGE TREE LN",
"address_2": "SUITE B",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744569",
"telephone_number": "909-335-1166",
"fax_number": "909-335-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 ORANGE TREE LN",
"address_2": "SUITE B",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744569",
"telephone_number": "909-335-1166",
"fax_number": "909-335-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTEY",
"first_name": "MARK",
"middle_name": "EDWARD",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "45253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.