Active NPI
Dawn Frances Abousy, DDS
- General Practice Dentistry
- Baltimore, MD
National Provider Identifier
1578645503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN1000576
- Practice address
- 1253 W Pratt St
Baltimore, MD 21223-2600 - Phone
- (410) 727-4746
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN1000576 | DC | Primary |
| General Practice Dentistry | 1223G0001X | 13676 | MD |
Addresses
Primary practice location
1253 W Pratt St
Baltimore, MD 21223-2600
Mailing address
12156 Mount Albert CT
Ellicott City, MD 21042-1330
Phone (443) 472-5297
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1000576 | DC | MD | General Practice Dentistry |
| 13676 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael G Pharris OD PC | Past | Accepting new patients | |
| Ronald B Montano DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Baltimore, MD
- NPI 1205006145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1578645503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12156 MOUNT ALBERT CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210421330",
"telephone_number": "443-472-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 W PRATT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212232600",
"telephone_number": "410-727-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOUSY",
"first_name": "DAWN",
"middle_name": "FRANCES",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN1000576",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13676",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.