Roderick Noel Abang, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7297 Issued in KY

Practice address

2301 Meadow Dr
Louisville, KY 40218-1338

Phone

(502) 451-8900

Fax

(502) 454-9494

NPI assigned

Oct 31, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Special Care Dentistry

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1619151180
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720079783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 WHITEWAY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052927",
            "telephone_number": "502-451-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MEADOW DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181338",
            "telephone_number": "502-451-8900",
            "fax_number": "502-454-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABANG",
        "first_name": "RODERICK",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "7297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60072972",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaa Healthcare PSC
• Aak Internal Medicine PLLC
• Aaron H Wilson DMD LLC (Springhurst Family & Cosmetic Dentistry)
• Sarah Marie Aaron, P.T.
• Bilal Abaid, M.D.
• Magdy A Abaskaron, M.D.
• Joseph Abayev, MD
• Nison I Abayev, MD
• Gregory M Abbas, M.D.
• Syed Ali Abbas, MD

• Pediatric Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.