Active NPI
Abide Endodontics
- Dental Clinic/Center
- Southaven, MS
National Provider Identifier
1205200920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3573
- Legal business name
- ABIDE ENDODONTICS
- Practice address
- 5740 Getwell Rd
BLDG. 3a
Southaven, MS 38672-6346 - Phone
- (662) 470-5811
- Fax
- (662) 470-5817
- NPI assigned
- Nov 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Elias Abide Jr., D.M.D.
- Title
- Owner
- Phone
- (662) 470-5811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 3573 | MS | Primary |
Addresses
Primary practice location
5740 Getwell Rd
BLDG. 3a
Southaven, MS 38672-6346
Mailing address
5740 Getwell Rd
BLDG. 3a
Southaven, MS 38672-6346
Phone (662) 470-5811
National Provider Directory
National Provider DirectoryLocations
5740 Getwell Rd
Bldg 3A
Southaven, MS 38672
Phone (662) 470-5811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Southaven, MS
- NPI 1841499340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447804800000",
"number": "1205200920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5740 GETWELL RD",
"address_2": "BLDG. 3A",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386726346",
"telephone_number": "662-470-5811",
"fax_number": "662-470-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 GETWELL RD",
"address_2": "BLDG. 3A",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386726346",
"telephone_number": "662-470-5811",
"fax_number": "662-470-5817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABIDE ENDODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A",
"authorized_official_last_name": "ABIDE",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "ELIAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-470-5811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MS",
"license": "3573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.