Individual provider Active NPI

Christine Knox Abenoja, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Birmingham, AL
National Provider Identifier
1396919833
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5488 Issued in AL
Practice address
8000 Liberty Pkwy
Suite 128
Birmingham, AL 35242-7561
Phone
(205) 969-1969
NPI assigned
Apr 16, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5488 AL Primary

Addresses

Primary practice location

8000 Liberty Pkwy
Suite 128
Birmingham, AL 35242-7561

Mailing address

8000 Liberty Pkwy
Suite 128
Birmingham, AL 35242-7561
Phone (205) 969-1969

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5488ALMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Abenoja Orthodontics LLC Current Accepting new patients

Locations

8000 Liberty Pkwy
Ste 128
Vestavia, AL 35242
Phone (205) 969-1969

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1396919833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY",
            "address_2": "SUITE 128",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427561",
            "telephone_number": "205-969-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY",
            "address_2": "SUITE 128",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427561",
            "telephone_number": "205-969-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENOJA",
        "first_name": "CHRISTINE",
        "middle_name": "KNOX",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.