Individual provider Active NPI

Abigail Anne Garrett, EFDA

  • Dental Assistant
  • Oregon City, OR
National Provider Identifier
1336887959
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
000726 Issued in OR
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
000726ORMDDental Assistant

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.