Individual provider Active NPI

Abby Linn King, DDS

  • General Practice Dentistry
  • Bay City, MI
National Provider Identifier
1053673251
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020634 Issued in MI
Practice address
800 S Euclid Ave
Bay City, MI 48706-3355
Phone
(989) 686-7174
Fax
(989) 686-1860
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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 2901020634 MI Primary

Addresses

Primary practice location

800 S Euclid Ave
Bay City, MI 48706-3355

Mailing address

800 S Euclid Ave
Bay City, MI 48706-3355
Phone (989) 686-7174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215001077 MI Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 7214231026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020634MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Dentistry General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1053673251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063355",
            "telephone_number": "989-686-7174",
            "fax_number": "989-686-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063355",
            "telephone_number": "989-686-7174",
            "fax_number": "989-686-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ABBY",
        "middle_name": "LINN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.