Active NPI
Abraham Mathew, DDS
- Dentist
- Tampa, FL
National Provider Identifier
1194544270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41023
- Practice address
- 1311 W Busch Blvd
Tampa, FL 33612-7709 - Phone
- (813) 333-0633
- NPI assigned
- Oct 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30965 | FL | |
| Dentist | 122300000X | 41023 | TX | Primary |
Addresses
Primary practice location
1311 W Busch Blvd
Tampa, FL 33612-7709
Mailing address
6611 Abode Ave Apt 23205
Temple, TX 76502-4712
Phone (813) 843-4524
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 |
|---|---|---|---|
| DN30965 | FL | MD | Dentist |
| 41023 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1194544270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 ABODE AVE APT 23205",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765024712",
"telephone_number": "813-843-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 W BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127709",
"telephone_number": "813-333-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-07",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30965",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.