Individual provider Active NPI

Abigail Disman

  • General Practice Dentistry
  • Pasadena, MD
National Provider Identifier
1033902499
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18627 Issued in MD
Practice address
8556 Fort Smallwood Rd Ste B
Pasadena, MD 21122-2634
Phone
(410) 360-5116
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18627 MD Primary

Addresses

Primary practice location

8556 Fort Smallwood Rd Ste B
Pasadena, MD 21122-2634

Mailing address

8556 Fort Smallwood Rd Ste B
Pasadena, MD 21122-2634
Phone (410) 360-5116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18627MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Driscoll Family Dental LLC CurrentSince Jun 3, 2025 Accepting new patients
Maryland Dental Associates LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

8556 Fort Smallwood Rd
#B
Pasadena, MD 21122
Phone (410) 360-5116

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1033902499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8556 FORT SMALLWOOD RD STE B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222634",
            "telephone_number": "410-360-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8556 FORT SMALLWOOD RD STE B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222634",
            "telephone_number": "410-360-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISMAN",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.