Active NPI
Abigail Kaye Roddy, DDS
- Dentist
- Gulfport, MS
National Provider Identifier
1215867031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 112643
- Practice address
- 9072 Lorraine Rd
Gulfport, MS 39503-6101 - Phone
- (228) 896-1840
- NPI assigned
- May 22, 2026
- Last updated
- May 22, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 112643 | MS | Primary |
Addresses
Primary practice location
9072 Lorraine Rd
Gulfport, MS 39503-6101
Mailing address
4255 W 1175 N
New Palestine, IN 46163-9424
Phone (317) 601-9046
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 |
|---|---|---|---|
| 112643 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach View Family Dental, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Gulfport, MS
- NPI 1831603257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1215867031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 W 1175 N",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461639424",
"telephone_number": "317-601-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9072 LORRAINE RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395036101",
"telephone_number": "228-896-1840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODDY",
"first_name": "ABIGAIL",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "112643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.