Active NPI
Jadee Sheree Abbott, DDS
- General Practice Dentistry
- Berlin, CT
National Provider Identifier
1801456306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13594
- Practice address
- 39 Webster Square Rd
Berlin, CT 06037-2326 - Phone
- (860) 828-3933
- NPI assigned
- Jun 17, 2019
- Last updated
- Aug 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS104902 | CA | |
| General Practice Dentistry | 1223G0001X | 13594 | CT | Primary |
Addresses
Primary practice location
39 Webster Square Rd
Berlin, CT 06037-2326
Mailing address
105 Frost Dr
North Haven, CT 06473-3736
Phone (806) 690-8381
Other practice location 1
26 Shunpike Rd
Cromwell, CT 06416-2442
Phone (860) 894-2933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS104902 | CA | MD | General Practice Dentistry |
| 13594 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert W DMD Huskey | Past | Accepting new patients | |
| Park and Rygg Dental Corporation | General Practice | Past | Accepting new patients |
| Abigail N Adams DMD LLC | Past | Accepting new patients | |
| Advanced Dental of New England LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Prosthodontics
- Berlin, CT
- NPI 1831219021
-
dba Camino Dental Group
- General Practice Dentistry
- Encinitas, CA
- NPI 1023105574
-
- Dentist
- Opelika, AL
- NPI 1003205089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1801456306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FROST DR",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064733736",
"telephone_number": "806-690-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 WEBSTER SQUARE RD",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372326",
"telephone_number": "860-828-3933"
}
],
"practiceLocations": [
{
"address_1": "26 Shunpike Rd",
"address_purpose": "LOCATION",
"city": "Cromwell",
"state": "CT",
"postal_code": "064162442",
"country_code": "US",
"telephone_number": "860-894-2933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBOTT",
"first_name": "JADEE",
"middle_name": "SHEREE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2023-08-31",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS104902",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "13594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.