Active NPI
Abigail Anne Garrett, EFDA
- Dental Assistant
- Oregon City, OR
National Provider Identifier
1336887959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 000726
- Practice address
- 1900 McLoughlin Blvd Ste 68
Oregon City, OR 97045-1072 - Phone
- (503) 387-8004
- NPI assigned
- May 24, 2022
- Last updated
- May 24, 2022
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 000726 | OR | Primary |
Addresses
Primary practice location
1900 McLoughlin Blvd Ste 68
Oregon City, OR 97045-1072
Mailing address
12316 SE Juniper Ave
Milwaukie, OR 97222-2430
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abigail.a.garrett@kp.org | Direct | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
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 |
|---|---|---|---|
| 000726 | OR | MD | Dental Assistant |
Interoperability endpoints
- abigail.a.garrett@kp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1336887959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12316 SE JUNIPER AVE",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972222430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MCLOUGHLIN BLVD STE 68",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451072",
"telephone_number": "503-387-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "ABIGAIL",
"middle_name": "ANNE",
"credential": "EFDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "OR",
"license": "000726",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abigail.a.garrett@kp.org",
"affiliation": "Y",
"endpointDescription": "Email Address",
"affiliationName": "Kaiser Foundation Health Plan of the Mid Atlantic States, Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1900 McLoughlin Blvd Ste 68",
"city": "Oregon City",
"state": "OR",
"country_code": "US",
"postal_code": "970451072",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.