Active NPI
Stevic Bartolabac Abad, DDS
- General Practice Dentistry
- Maysville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9627
- Practice address
- 1002 Jenkins Ave
Maysville, NC 28555-4401 - Phone
- (910) 743-2521
- Fax
- (910) 743-2531
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9627 | NC | Primary |
Addresses
Primary practice location
1002 Jenkins Ave
Maysville, NC 28555-4401
Mailing address
1002 Jenkins Ave
Maysville, NC 28555-4401
Phone (910) 743-2521
Other practice location 1
315 McHugh Blvd
2D Dental Batallion/Naval Dental Center
Camp Lejeune, NC 28547-2511
Phone (910) 451-2208 ext. 203
Other practice location 2
1400 Industrial Dr
Kinston, NC 28504-4500
Phone (252) 523-0544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329000891 | NC | Order and Referring Only - Dentist | 1759688252 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates XL DDS PA | General Practice | Current | Accepting new patients |
| Nirjal Patel, DMD, P.a. | Past | Accepting new patients | |
| Sue a. Minneman-Fowler, DDS, PLLC | Past | Accepting new patients |
Locations
1002 Jenkins Ave
Maysville, NC 28555
Phone (910) 743-2521
Organizations & group practices 3
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.
-
- Dentist
- Kinston, NC
- NPI 1386257822
-
- Dentist
- Maysville, NC
- NPI 1689016206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1245219724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 JENKINS AVE",
"city": "MAYSVILLE",
"state": "NC",
"postal_code": "285554401",
"telephone_number": "910-743-2521",
"fax_number": "910-743-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 JENKINS AVE",
"city": "MAYSVILLE",
"state": "NC",
"postal_code": "285554401",
"telephone_number": "910-743-2521",
"fax_number": "910-743-2531"
}
],
"practiceLocations": [
{
"address_1": "315 McHugh Blvd",
"address_2": "2D Dental Batallion/Naval Dental Center",
"address_purpose": "LOCATION",
"city": "Camp Lejeune",
"state": "NC",
"postal_code": "285472511",
"country_code": "US",
"telephone_number": "910-451-2208 x203",
"fax_number": "910-451-8036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Industrial Dr",
"address_purpose": "LOCATION",
"city": "Kinston",
"state": "NC",
"postal_code": "285044500",
"country_code": "US",
"telephone_number": "252-523-0544",
"fax_number": "252-523-4947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABAD",
"first_name": "STEVIC",
"middle_name": "BARTOLABAC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maysville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.