Active NPI
Bill Abbo, DDS MS
- General Practice Dentistry
- North Miami Beach, FL
National Provider Identifier
1720147853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN17781
- Practice address
- 3031 NE 163Rd St
North Miami Beach, FL 33160-4462 - Phone
- (305) 945-0909
- Fax
- (305) 945-0907
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019307 | MI | |
| Prosthodontics | 1223P0700X | DN17781 | FL | |
| General Practice Dentistry | 1223G0001X | DN17781 | FL | Primary |
Addresses
Primary practice location
3031 NE 163Rd St
North Miami Beach, FL 33160-4462
Mailing address
19331 NE 19TH PL
North Miami Beach, FL 33179-3611
Phone (305) 710-3129
Other practice location 1
4757 S University Dr
Davie, FL 33328-3819
Phone (954) 434-3331
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019307 | MI | MD | Dentist |
| DN17781 | FL | MD | Prosthodontist |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eli Abbo DMD PA | Current | Accepting new patients | |
| Davie Advanced Dentistry | General Practice | Current | Accepting new patients |
| Luis F Mota DMD Ms PA | Past | Accepting new patients | |
| Dental Group of South Florida III Inc | General Practice | Past | Accepting new patients |
| Claudia a Draizin DMD PA | General Practice | Past | Accepting new patients |
| Global Dental Group Inc | General Practice | Past | Accepting new patients |
Locations
4757 S University Dr
Davie, FL 33328
Phone (954) 434-3331
3031 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 945-0909
Networks
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Periodontics
- North Miami Beach, FL
- NPI 1629861307
-
- General Practice Dentistry
- Miami Springs, FL
- NPI 1083966071
General Practice
-
- General Practice Dentistry
- Miami Springs, FL
- NPI 1326212945
General Practice
-
- Periodontics
- North Miami Beach, FL
- NPI 1174781538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1720147853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19331 NE 19TH PL",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331793611",
"telephone_number": "305-710-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 NE 163RD ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331604462",
"telephone_number": "305-945-0909",
"fax_number": "305-945-0907"
}
],
"practiceLocations": [
{
"address_1": "4757 S University Dr",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333283819",
"country_code": "US",
"telephone_number": "954-434-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBO",
"first_name": "BILL",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019307",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN17781",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.