NPIMap

Organization Active NPI

Innovative Endodontics

  • Endodontics
  • Moncks Corner, SC
National Provider Identifier
1972227684
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
INNOVATIVE ENDODONTICS
Practice address
2900 N Main St Ste G
Moncks Corner, SC 29461-8451
Phone
(843) 899-7668
Fax
(843) 899-7667
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Dr. Monica Estes, DMDNPI 1487960084
Title
Owner
Phone
(843) 899-7668

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

2900 N Main St Ste G
Moncks Corner, SC 29461-8451

Mailing address

2900 N Main St Ste G
Moncks Corner, SC 29461-8451
Phone (843) 899-7668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@843endo.com Direct

National Provider Directory

National Provider Directory

Locations

2900 N Main St
Ste G
Moncks Corner, SC 29461
Phone (843) 899-7668

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": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1972227684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MAIN ST STE G",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618451",
            "telephone_number": "843-899-7668",
            "fax_number": "843-899-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MAIN ST STE G",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618451",
            "telephone_number": "843-899-7668",
            "fax_number": "843-899-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-899-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@843endo.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "2900 N Main St Ste G",
            "city": "Moncks Corner",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294618451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.