Individual provider Active NPI

Abigail Brier, D.M.D

  • Dentist
  • Bloomingdale, IL
National Provider Identifier
1710392014
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040052 Issued in PA
Practice address
444 W Army Trail Rd
Bloomingdale, IL 60108-1379
Phone
(630) 387-9764
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040052 PA Primary

Addresses

Primary practice location

444 W Army Trail Rd
Bloomingdale, IL 60108-1379

Mailing address

1003 Towamencin Ave
Apt E-205
Lansdale, PA 19446-5653
Phone (570) 575-6796

Other identifiers 1

IdentifierTypeStateIssuer
1710392014MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019001313 IL Order and Referring Only - DentistPractitioner - Dentist 7113215450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040052PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Arreola & Associates, LLC Past Accepting new patients
Abd Dental Associates, LLC Dentist PastSince Mar 27, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1710392014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 TOWAMENCIN AVE",
            "address_2": "APT E-205",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465653",
            "telephone_number": "570-575-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W ARMY TRAIL RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081379",
            "telephone_number": "630-387-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIER",
        "first_name": "ABIGAIL",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710392014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.