Christopher P. McAboy DDS, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5603-015 Issued in WI

Legal business name

CHRISTOPHER P. MCABOY DDS, LLC

Practice address

377 W River Woods Pkwy # 120
Glendale, WI 53212-1088

Phone

(414) 906-8940

NPI assigned

Mar 4, 2011

Organization subpart

No

Name

Dr. Christopher Patrick McAboy, DDSNPI 1003823436

Title

Surgeon/Owner

Phone

(414) 906-8940

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Patrick McAboy, DDS

  • Dentist
  • Glendale, WI
  • NPI 1003823436

  Oral and Maxillofacial Surgery

  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2011.

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1376841015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 W RIVER WOODS PKWY # 120",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121088",
            "telephone_number": "414-906-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W RIVER WOODS PKWY # 120",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121088",
            "telephone_number": "414-906-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER P. MCABOY DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "MCABOY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "414-906-8940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5603-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003823436",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Glendale, WI
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.