Grant Thomas Abernathey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6828-15 Issued in WI

Practice address

4700Bureau Rd S
FCC Terre Haute Dental Unit
Terre Haute, IN 47802

Phone

(812) 244-4595

Fax

(812) 244-4791

NPI assigned

Aug 1, 2011

Last updated

Jun 13, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1750669388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BUREAU RD S",
            "address_2": "FCC TERRE HAUTE ATTN: DENTAL",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47802",
            "telephone_number": "812-244-4595",
            "fax_number": "812-244-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700BUREAU RD S",
            "address_2": "FCC TERRE HAUTE DENTAL UNIT",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47802",
            "telephone_number": "812-244-4595",
            "fax_number": "812-244-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNATHEY",
        "first_name": "GRANT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08865",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6828-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdy Waguih Abdel Nour, M.D.
• Samer Abdul Kareem
• Alhaitham Abdullah
• Christopher Abel
• Charles G Abell, PHARMD
• Mary Pell Abernathy, MD
• Rashmi R Abhyankar, M.D.
• Caedyn Abner
• Amy Abrams
• Thomas Craig Abrell, D.D.S.

• General Practice Dentistry in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.