Active NPI
Karen S Ablow, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Madison, CT
National Provider Identifier
1891727152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 007442
- Practice address
- 145 Durham Road
Madison, CT 06443 - Phone
- (203) 245-7926
- Fax
- (203) 245-8024
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 007442 | CT | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 007442 | CT | Primary |
Addresses
Primary practice location
145 Durham Road
Madison, CT 06443
Mailing address
145 Durham Road
Madison, CT 06443
Phone (203) 245-7926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007442 | Other | CT | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 25, 2019 through Jan 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007442 | CT | MD | Physical Therapist |
| 7442 | CT | MD | Physician Assistant |
Interoperability endpoints
- kablow100550@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1891727152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 DURHAM ROAD",
"city": "MADISON",
"state": "CT",
"postal_code": "06443",
"telephone_number": "203-245-7926",
"fax_number": "203-245-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 DURHAM ROAD",
"city": "MADISON",
"state": "CT",
"postal_code": "06443",
"telephone_number": "203-245-7926",
"fax_number": "203-245-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABLOW",
"first_name": "KAREN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CT",
"license": "007442",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "007442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "007442",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.