Active NPI
Crystal Robyn Abramczyk, DDS
- Dentist
- Garland, TX
National Provider Identifier
1285946145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25386
- Practice address
- 5402 Broadway Blvd
Garland, TX 75043-3637 - Phone
- (972) 303-3600
- NPI assigned
- Jul 8, 2010
- Last updated
- Jul 8, 2010
- 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 | 25386 | TX | Primary |
Addresses
Primary practice location
5402 Broadway Blvd
Garland, TX 75043-3637
Mailing address
1298 Bradford Dr
Coppell, TX 75019-3679
Phone (214) 901-4942
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 |
|---|---|---|---|
| 25386 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Dental Clinic | Dentist | 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.
-
- Dentist
- Garland, TX
- NPI 1306024948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1285946145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1298 BRADFORD DR",
"city": "COPPELL",
"state": "TX",
"postal_code": "750193679",
"telephone_number": "214-901-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5402 BROADWAY BLVD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750433637",
"telephone_number": "972-303-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMCZYK",
"first_name": "CRYSTAL",
"middle_name": "ROBYN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.