Active NPI
Justin Redrick McAbee, DMD
- General Practice Dentistry
- Charleston, SC
National Provider Identifier
1578877155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4700
- Practice address
- 104 E Edgewater Dr
Charleston, SC 29407-7609 - Phone
- (843) 270-3119
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4700 | SC | Primary |
Addresses
Primary practice location
104 E Edgewater Dr
Charleston, SC 29407-7609
Mailing address
104 E Edgewater Dr
Charleston, SC 29407-7609
Phone (843) 270-3119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 9, 2021 through Sep 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1578877155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E EDGEWATER DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077609",
"telephone_number": "843-270-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E EDGEWATER DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077609",
"telephone_number": "843-270-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCABEE",
"first_name": "JUSTIN",
"middle_name": "REDRICK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.