Individual provider Active NPI

Maria Cristina Abramian

  • General Practice Dentistry
  • League City, TX
National Provider Identifier
1871757039
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24056 Issued in TX
Practice address
2640 E League City Pkwy Ste 108
League City, TX 77573
Phone
(281) 334-5109
Fax
(216) 584-1409
NPI assigned
Jul 16, 2008
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24056 TX Primary

Addresses

Primary practice location

2640 E League City Pkwy Ste 108
League City, TX 77573

Mailing address

3325 Creek Gate Dr
League City, TX 77573-2060
Phone (832) 782-2936

Other practice location 1

2640 E League City Pkwy Ste 108
League City, TX 77573
Phone (281) 334-5109

Other identifiers 1

IdentifierTypeStateIssuer
1946121-01MedicaidTX

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
24056TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Dental Center General Practice Past Accepting new patients
Soumava Sen, DD, P.C. PastSince Aug 15, 2021 Accepting new patients
Network Provider Associates, P.C. General Practice PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 3

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1871757039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 CREEK GATE DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732060",
            "telephone_number": "832-782-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY STE 108",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "281-334-5109",
            "fax_number": "216-584-1409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 E League City Pkwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "77573",
            "country_code": "US",
            "telephone_number": "281-334-5109",
            "fax_number": "216-584-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAMIAN",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1946121-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.