Organization Active NPI

James a. Abbott, D.D.S., M.S.

  • Dentist
  • Santa Rosa, CA
National Provider Identifier
1538268495
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D024525 Issued in CA
Legal business name
JAMES A. ABBOTT, D.D.S., M.S.
Practice address
4655 Hoen Avenue
Suite 2
Santa Rosa, CA 95405
Phone
(707) 523-3636
Fax
(707) 523-3693
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Dr. James Allen Abbott, D.D.S.NPI 1467629386
Title
President/Owner
Phone
(707) 523-3636

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D024525 CA Primary

Addresses

Primary practice location

4655 Hoen Avenue
Suite 2
Santa Rosa, CA 95405

Mailing address

2755 Mendocino Avenue
Suite 205
Santa Rosa, CA 95403
Phone (707) 523-3636

National Provider Directory

National Provider Directory

Locations

2755 Mendocino Ave
Ste 205
Santa Rosa, CA 95403

4655 Hoen Ave
Ste 2
Santa Rosa, CA 95405
Phone (707) 523-3636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1538268495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 MENDOCINO AVENUE",
            "address_2": "SUITE 205",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-523-3636",
            "fax_number": "707-523-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVENUE",
            "address_2": "SUITE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95405",
            "telephone_number": "707-523-3636",
            "fax_number": "707-523-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. ABBOTT, D.D.S., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "707-523-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D024525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.