Stephen A. Abbott, D.D.S.
Individual provider Active NPI General Practice Dentistry · Chico, CA
NPI 1598873291 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598873291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30920 (CA)
- Practice address
- 649 W East Ave
Chico, CA 95926-7201 - Phone
- (530) 342-1271
- Fax
- (530) 342-3718
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151231001443 | CA | Order and Referring Only - Dentist |
7517269954 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30920 | CA | MD | Community Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30920 | CA | Yes |
Addresses
Primary practice location
649 W East Ave
Chico, CA 95926-7201
Mailing address
649 W East Ave
Chico, CA 95926-7201
Phone (530) 342-1271
Other names
- Mr. Stephen Abbott
Other providers in Chico, CA
- A. Agyeman, MD Medical Corp.
- Jolynn Kay Aanenson
- Victoria Grace Aardappel
- Adam Aaronson
- Michaeli Abbadessa
- Kristine Llosa Abejo
- Amanda Abelar
- Danny Nabil Abifadel
- Ahmed I Abouesh
- Lucia Lilly Abril
All providers in Chico, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.