Robert M Abraham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1513-72 Issued in MS

Practice address

1909 Mission 66
Vicksburg, MS 39180-3711

Phone

(601) 638-9111

Fax

(601) 638-0013

NPI assigned

Jul 14, 2010

Last updated

Jul 14, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Robert M Abraham, D.D.S., P.a.

  • General Practice Dentistry
  • Vicksburg, MS
  • NPI 1962523944
  NPD (past) Authorized official

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1851603260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820089",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391820089",
            "telephone_number": "601-638-9111",
            "fax_number": "601-638-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-638-9111",
            "fax_number": "601-638-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1513-72",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Hand Up Rehabilitation Services, Inc.
• Eugene M. Abbott Jr., PHARMD.
• Ablehands Homecare LLC
• George Abraham, MD
• Michael Abraham
• Billy Wayne Adams Sr.
• Jerri Adams, LMSW
• Anna Adcock, LCSW
• Trisha Addison
• Dion Adkins

• General Practice Dentistry in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.