Individual provider Active NPI

Jadee Sheree Abbott, DDS

  • General Practice Dentistry
  • Berlin, CT
National Provider Identifier
1801456306
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13594 Issued in CT
Practice address
39 Webster Square Rd
Berlin, CT 06037-2326
Phone
(860) 828-3933
NPI assigned
Jun 17, 2019
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DDS104902CAMDGeneral Practice Dentistry
13594CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W DMD Huskey Past Accepting new patients
Park and Rygg Dental Corporation General Practice PastSince Oct 1, 2020 Accepting new patients
Abigail N Adams DMD LLC PastSince Jul 24, 2022 Accepting new patients
Advanced Dental of New England LLC PastSince Apr 9, 2023 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.

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.

Verify at the official NPI Registry.