Organization Active NPI

Mark Abramson, D D S Inc

  • General Practice Dentistry
  • San Mateo, CA
National Provider Identifier
1386844231
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25856 Issued in CA
Legal business name
MARK ABRAMSON, D D S INC
Practice address
424 N San Mateo Dr Ste 300
San Mateo, CA 94401-2492
Phone
(650) 369-9227
Fax
(650) 369-9241
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Dr. Mark E Abramson, D D S
Title
President
Phone
(650) 369-9227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 25856 CA Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

424 N San Mateo Dr Ste 300
San Mateo, CA 94401-2492

Mailing address

35 Renato CT
Redwood City, CA 94061-4095
Phone (650) 369-9227

National Provider Directory

National Provider Directory

Locations

60 Garden Ct
Monterey, CA 93940
Phone (650) 369-9227

35 Renato Ct
Redwood City, CA 94061
Phone (650) 369-9227

424 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 348-5112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1386844231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RENATO CT",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614095",
            "telephone_number": "650-369-9227",
            "fax_number": "650-369-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012492",
            "telephone_number": "650-369-9227",
            "fax_number": "650-369-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ABRAMSON, D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "ABRAMSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-369-9227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D D S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25856",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.