JEFFREY DANIEL MONACO (NPI# 1790196822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790196822 |
Entity Type | Individual |
Full Name | JEFFREY DANIEL MONACO |
Credential | DMD |
Practice Address |
1340 Matthews Township Pkwy #201 Matthews NC 28105 |
Practice Telephone | 7048474717 |
Practice Fax Number | 5852733485 |
Mailing Telephone | 5852763145 |
Mailing Fax Number | 5852733485 |
Enumeration Date | 2014-05-12 |
Last Update Date | 2016-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10483 | NC | Dental Providers |
Street Address |
1340 MATTHEWS TOWNSHIP PKWY #201 |
City | MATTHEWS |
State | NC |
Zip Code | 28105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548218118 | Sam R Fulp | Internal Medicine | 1340 Matthews Township Pkwy, Suite 301, Matthews, NC 28105-5580 | 2006-05-05 |
1902137367 | Matthews Infectious Disease Specialists, Pllc | Clinic/Center | 1340 Matthews Township Pkwy, Suite 102, Matthews, NC 28105-5580 | 2010-01-26 |
1891922860 | Jay Shukla | Dentist | 1340 Matthews Township Pkwy, Suite 101, Matthews, NC 28105-5580 | 2009-06-17 |
1083884688 | Drs. Patel, Kashyap & Associates, P.a. | Dentist | 1340 Matthews Township Pkwy, Suite 101, Matthews, NC 28105-5580 | 2008-03-11 |
1972704997 | Caroline Eugenia Lindenbeck | Chiropractor | 1340 Matthews Township Pkwy, Matthews, NC 28105-5580 | 2007-05-29 |
1598981474 | Jeffrey S Zaidman | Internal Medicine | 1340 Matthews Township Pkwy, Suite 301, Matthews, NC 28105-5580 | 2007-04-18 |
1356566830 | Chandler Chiropractic Center, P.a. | Chiropractor | 1340 Matthews Township Pkwy, Suite 103, Matthews, NC 28105-5580 | 2007-04-17 |
1568584688 | Ashish Dinesh Thekdi | Internal Medicine | 1340 Matthews Township Pkwy, Suite 301, Matthews, NC 28105-5580 | 2007-04-06 |
1649358078 | Jason D Sperati | Dentist | 1340 Matthews Township Pkwy, Suite 201, Matthews, NC 28105 | 2006-11-02 |
1992888663 | Kimberly K. Josey | Chiropractor | 1340 Matthews Township Pkwy, Suite 103, Matthews, NC 28105-5580 | 2006-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
Find all providers in zip 28105 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649358078 | Jason D Sperati | Dentist | 1340 Matthews Township Pkwy, Suite 201, Matthews, NC 28105 | 2006-11-02 |
1003929860 | Scott David Goodman | Dentist | 1340 Matthews Township Parkway, Suite 201, Matthews, NC 28105 | 2006-08-16 |
1548373319 | Margaret E Lochary | Dentist | 1340 Matthews Township Pkwy, Suite 201, Matthews, NC 28105-5580 | 2006-08-16 |
1104845270 | Pediatric Dentistry of Matthews | Dentist | 1340 Matthews Township Pkwy, Suite 201, Matthews, NC 28105-5580 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.