Kathy M Abbott, DDS
Individual provider Active NPI Periodontics · Baton Rouge, LA
NPI 1740360494 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740360494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 4135 (LA)
- Practice address
- 10723 N Oak Hills Pkwy
Baton Rouge, LA 70810 - Phone
- (225) 767-5370
- Fax
- (225) 763-9348
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20150922001985 | LA | Order and Referring Only - Oral Surgery |
6204143365 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4135 | LA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4135 | LA | Yes |
Addresses
Primary practice location
10723 N Oak Hills Pkwy
Baton Rouge, LA 70810
Mailing address
10723 N Oak Hills Pkwy
Baton Rouge, LA 70810
Phone (225) 767-5370
Other providers in Baton Rouge, LA
- Whitney Abadie
- Matthew Raymond Abate
- Ubaid Riaz Abbasi
- Nikki Denoux Abbate
- Tori Vincik Abbess
- Michael Abbott
- Ruby Darlene Abbott
- Scott Thomas Abbott
- Abby Home Care, LLC
- Abby Home Care, LLC
All providers in Baton Rouge, LA · Periodontics in Louisiana
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.