NPIMap

Organization Active NPI

Owensboro Endodontics, PSC

  • Endodontics
  • Owensboro, KY
National Provider Identifier
1295100576
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
959 Issued in KY
Legal business name
OWENSBORO ENDODONTICS, PSC
Practice address
2200 E Parrish Ave Ste 103C
Owensboro, KY 42303-1450
Phone
(270) 421-5115
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Abigail C. Edds, DMD
Title
President
Phone
(270) 421-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 959 KY Primary

Addresses

Primary practice location

2200 E Parrish Ave Ste 103C
Owensboro, KY 42303-1450

Mailing address

2200 E Parrish Ave Ste 103C
Owensboro, KY 42303-1450
Phone (270) 421-5115

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1295100576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE STE 103C",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031450",
            "telephone_number": "270-421-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE STE 103C",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031450",
            "telephone_number": "270-421-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO ENDODONTICS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "EDDS",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-421-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.