Active NPI
Bryan C. Abrams, D.D.S.
- Dentist
- Mill Valley, CA
National Provider Identifier
1376737221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54856
- Practice address
- 247 Shoreline Hwy Ste B3
Mill Valley, CA 94941-3664 - Phone
- (415) 383-2232
- Fax
- (415) 383-2232
- NPI assigned
- Sep 4, 2007
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 54856 | CA | Primary |
Addresses
Primary practice location
247 Shoreline Hwy Ste B3
Mill Valley, CA 94941-3664
Mailing address
247 Shoreline Hwy Ste B3
Mill Valley, CA 94941-3664
Phone (415) 383-2232
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 |
|---|---|---|---|
| 54856 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Abrams DDS, PC | 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
- Mill Valley, CA
- NPI 1285162750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376737221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 SHORELINE HWY STE B3",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413664",
"telephone_number": "415-383-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 SHORELINE HWY STE B3",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413664",
"telephone_number": "415-383-2232",
"fax_number": "415-383-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "BRYAN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.