Andrew Elias Abide Jr., DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

ENDO-441-11 Issued in MS

Practice address

5740 Getwell Rd
BLD 3, Unit a
Southaven, MS 38672-6346

Phone

(662) 470-5811

Fax

(662) 470-5817

NPI assigned

Jul 13, 2007

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

Practice roles

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.

• Abide Endodontics

  • Dental Clinic/Center
  • Southaven, MS
  • NPI 1205200920
  NPD (past) Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1841499340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 GETWELL RD",
            "address_2": "BLD 3, UNIT A",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726346",
            "telephone_number": "662-470-5811",
            "fax_number": "662-470-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GETWELL RD",
            "address_2": "BLD 3, UNIT A",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726346",
            "telephone_number": "662-470-5811",
            "fax_number": "662-470-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIDE",
        "first_name": "ANDREW",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3573-10",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MS",
            "license": "ENDO-441-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A & D Behavioral Solutions LLC
• A Mothers Love Home Care
• Abc Pediatric Therapy of Mississippi, LLC
• Abide Endodontics
• John A Acosta, D.D.S.
• Kayla E Adair, OTR/L
• Tara Adams, P-LPC
• Pradeep Adatrow, DDS
• Addiction Campuses of Mississippi, LLC (Woodland Recovery Center)

• Endodontics in Southaven, MS
• Providers in Southaven, MS by specialty
• Endodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.