Active NPI
DRS Mintz & Abbott LLC
- Orofacial Pain Dentistry
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- Legal business name
- DRS MINTZ & ABBOTT LLC
- Practice address
- 6010 Executive Blvd Ste 500
Rockville, MD 20852-3827 - Phone
- (301) 530-8570
- Fax
- (301) 530-8572
- NPI assigned
- Jan 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy James Abbott
- Title
- Dentist/Owner
- Phone
- (805) 559-0579
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orofacial Pain Dentistry | 1223X2210X | Primary |
Addresses
Primary practice location
6010 Executive Blvd Ste 500
Rockville, MD 20852-3827
Mailing address
6010 Executive Blvd Ste 500
Rockville, MD 20852-3827
Phone (301) 530-8570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
10401 Old Georgetown Rd
Ste 106
Bethesda, MD 20814
Phone (301) 530-8570
6010 Executive Blvd
Ste 500
Rockville, MD 20852
Phone (301) 530-8570
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1386142123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 EXECUTIVE BLVD STE 500",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523827",
"telephone_number": "301-530-8570",
"fax_number": "301-530-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 EXECUTIVE BLVD STE 500",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523827",
"telephone_number": "301-530-8570",
"fax_number": "301-530-8572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS MINTZ & ABBOTT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-26",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "ABBOTT",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "805-559-0579"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orofacial Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.