Organization Active NPI

Ilan M Abramowitz, DMD, Cags

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bartow, FL
National Provider Identifier
1538548482
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
16931 Issued in FL
Legal business name
ILAN M ABRAMOWITZ, DMD, CAGS
Practice address
2110 Flamingo Dr
Bartow, FL 33830-4236
Phone
(863) 533-3302
Fax
(863) 534-3818
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Ilan M Abramowitz, DMD, CAGSNPI 1528384336
Title
Owner
Phone
(863) 533-3302

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 16931 FL Primary

Addresses

Primary practice location

2110 Flamingo Dr
Bartow, FL 33830-4236

Mailing address

2110 Flamingo Dr
Bartow, FL 33830-4236
Phone (863) 533-3302

Other names 1

  • Ellis and Abramowitz Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2110 Flamingo Dr
Bartow, FL 33830
Phone (863) 533-3302

Practitioners & affiliated clinicians

Practitioners 3

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": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1538548482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 FLAMINGO DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304236",
            "telephone_number": "863-533-3302",
            "fax_number": "863-534-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 FLAMINGO DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304236",
            "telephone_number": "863-533-3302",
            "fax_number": "863-534-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILAN M ABRAMOWITZ, DMD, CAGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "ABRAMOWITZ",
        "authorized_official_first_name": "ILAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-533-3302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, CAGS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "16931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis and Abramowitz Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.