Active NPI
Abanojoseph Samuel Abied, DDS
- Periodontics
- Tampa, FL
National Provider Identifier
1205503448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN26385
- Practice address
- 15148 N Dale Mabry Hwy
Tampa, FL 33618-1817 - Phone
- (813) 257-9500
- NPI assigned
- Aug 25, 2021
- 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 | DN26385 | FL | Primary |
Addresses
Primary practice location
15148 N Dale Mabry Hwy
Tampa, FL 33618-1817
Mailing address
815 Water St Apt B1811
Tampa, FL 33602-5412
Phone (347) 291-7748
Other practice location 1
400 Carillon Pkwy Ste 120
St Petersburg, FL 33716-1290
Phone (727) 299-0728
Other practice location 2
5002 73rd Ave N
Pinellas Park, FL 33781-4350
Phone (727) 544-7733
Other practice location 3
5101 E Busch Blvd Ste 13
Tampa, FL 33617-5380
Phone (813) 988-1167
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 |
|---|---|---|---|
| DN26385 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1205503448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 WATER ST APT B1811",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025412",
"telephone_number": "347-291-7748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15148 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181817",
"telephone_number": "813-257-9500"
}
],
"practiceLocations": [
{
"address_1": "400 Carillon Pkwy Ste 120",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337161290",
"country_code": "US",
"telephone_number": "727-299-0728",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5002 73rd Ave N",
"address_purpose": "LOCATION",
"city": "Pinellas Park",
"state": "FL",
"postal_code": "337814350",
"country_code": "US",
"telephone_number": "727-544-7733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5101 E Busch Blvd Ste 13",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336175380",
"country_code": "US",
"telephone_number": "813-988-1167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABIED",
"first_name": "ABANOJOSEPH",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN26385",
"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, 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.