Abigail Lena Roederer, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12014173A Issued in IN

Practice address

1700 W Smith Valley Rd Ste B1
Greenwood, IN 46142-1589

Phone

(317) 300-8163

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1073299699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W SMITH VALLEY RD STE B1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421589",
            "telephone_number": "317-300-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W SMITH VALLEY RD STE B1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421589",
            "telephone_number": "317-300-8163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Clarks Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461688766",
            "country_code": "US",
            "telephone_number": "317-900-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEDERER",
        "first_name": "ABIGAIL",
        "middle_name": "LENA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12014173A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abies Robles-Rivera
• Noelle Roddy, RBT
• Alexis Roe, RBT
• Elizabeth Melissa Roe, MSW
• Megan Roe
• Felicia Roembke, RBT
• Gerald H Roesener, R.PH.
• Michael Joseph Roesler II, DO
• Irene Erica Roge, D.P.M.
• Debby K Rogers, MSW-LCSW

• Pediatric Dentistry in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.