Active NPI
Matthew M. Abramson, DDS, MS
- Periodontics
- Burnsville, MN
National Provider Identifier
1194899450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 10473
- Practice address
- 625 E Nicollet Blvd
Ste. 300
Burnsville, MN 55337-6734 - Phone
- (952) 435-0333
- Fax
- (952) 435-0330
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 10473 | MN | Primary |
Addresses
Primary practice location
625 E Nicollet Blvd
Ste. 300
Burnsville, MN 55337-6734
Mailing address
160 Bergamot Dr
Hamel, MN 55340-4200
Phone (612) 476-9316
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10473 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194899450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BERGAMOT DR",
"city": "HAMEL",
"state": "MN",
"postal_code": "553404200",
"telephone_number": "612-476-9316",
"fax_number": "952-435-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E NICOLLET BLVD",
"address_2": "STE. 300",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376734",
"telephone_number": "952-435-0333",
"fax_number": "952-435-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "MATTHEW",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MN",
"license": "10473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.