Organization Active NPI

Abide Endodontics

  • Dental Clinic/Center
  • Southaven, MS
National Provider Identifier
1205200920
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3573 Issued in MS
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

Updated by the provider on Nov 18, 2015

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.NPI 1841499340
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.