Individual provider Active NPI

Chad Edward Abrams

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1346812971
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37510 Issued in TX
Practice address
4030 FM 1463 Rd
Katy, TX 77494-5499
Phone
(512) 966-5883
NPI assigned
Jul 13, 2021
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Texas Medical School at Houston, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1387
Hayden, ID 83835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37510TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dirne Health Centers, Inc. Current Accepting new patients

Locations

1090 W Park Pl
Ste B
Coeur D Alene, ID 83814
Phone (208) 292-0303

1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37510 TX
General Practice Dentistry 1223G0001X 37510 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

4030 FM 1463 Rd
Katy, TX 77494-5499

Mailing address

4030 FM 1463 Rd
Katy, TX 77494-5499
Phone (512) 966-5883

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2025.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1346812971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 FM 1463 RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945499",
            "telephone_number": "512-966-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 FM 1463 RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945499",
            "telephone_number": "512-966-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "CHAD",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37510",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.