Individual provider Active NPI

Sarah Khalid Abdat, B.D.S, M.S

  • Endodontics
  • Killeen, TX
National Provider Identifier
1881105682
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
33568 Issued in TX
Practice address
4400-1 E Central Texas Expy Ste B
Killeen, TX 76543-7309
Phone
(254) 699-7855
NPI assigned
Oct 19, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 33568 TX Primary

Addresses

Primary practice location

4400-1 E Central Texas Expy Ste B
Killeen, TX 76543-7309

Mailing address

12174 N Mopac Expy Ste C
Austin, TX 78758-2910

Other practice location 1

3801 Bee Caves Rd Ste C
West Lake Hills, TX 78746-6761
Phone (512) 328-6763

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
33568TXMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Carus Dental PC PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881105682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12174 N MOPAC EXPY STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400-1 E CENTRAL TEXAS EXPY STE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437309",
            "telephone_number": "254-699-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Bee Caves Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787466761",
            "country_code": "US",
            "telephone_number": "512-328-6763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDAT",
        "first_name": "SARAH",
        "middle_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "B.D.S, M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "33568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.