Monica Henao DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONICA HENAO DMD PLLC

Practice address

618 Lakestone Commons Ave
Fuquay Varina, NC 27526-7386

Phone

(984) 326-8443

Fax

(984) 326-7771

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Monica Henao, DMDNPI 1245612282

Title

Dentist

Phone

(984) 326-8443

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Monica Henao, D.M.D.

  • Dentist
  • Fuquay Varina, NC
  • NPI 1245612282

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1982462404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 LAKESTONE COMMONS AVE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267386",
            "telephone_number": "984-326-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 LAKESTONE COMMONS AVE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267386",
            "telephone_number": "984-326-8443",
            "fax_number": "984-326-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA HENAO DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "HENAO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "984-326-8443",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fuquay Varina, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.