Active NPI
Abigail Marie Rice, DDS
- Dentist
- Elmhurst, IL
National Provider Identifier
1093446932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.03377
- Practice address
- 333 W 1St St
Elmhurst, IL 60126-2641 - Phone
- (630) 833-5110
- NPI assigned
- Jun 21, 2022
- Last updated
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.03377 | IL | Primary |
Addresses
Primary practice location
333 W 1St St
Elmhurst, IL 60126-2641
Mailing address
47609 Red Run Dr
Canton, MI 48187-5491
Phone (734) 354-6762
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.03377 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1093446932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47609 RED RUN DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481875491",
"telephone_number": "734-354-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 1ST ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262641",
"telephone_number": "630-833-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "ABIGAIL",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.03377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.