Jeremy James Abbott, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

D15884 Issued in MD

Practice address

6010 Executive Blvd Ste 500
Rockville, MD 20852-3827

Phone

(301) 530-8570

Fax

(301) 530-8572

NPI assigned

Dec 14, 2006

Last updated

Jan 23, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orofacial PainAlso: Dentist

Education

Loma Linda University School of Dentistry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DRS Mintz & Abbott LLC

  • Orofacial Pain Dentistry
  • Rockville, MD
  • NPI 1386142123

  DC

  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• University of Maryland Oral Maxillofacial Surgery Assoc PA

  dba U.M.O.M.S.a.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Baltimore, MD
  • NPI 1538221825

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1891857074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 EXECUTIVE BLVD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523827",
            "telephone_number": "301-530-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 EXECUTIVE BLVD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523827",
            "telephone_number": "301-530-8570",
            "fax_number": "301-530-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "JEREMY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15884",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "15884",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "MD",
            "license": "D15884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwatosin Elizabeth Abayomi, PHARMD
• Abba Enterprises LLC
• Awura-Adwoa Abbah
• Mirwais Abbas
• Fatemeh Abbasi-Cooper, OD
• Marcellus Abbott
• Abc Kids Therapy
• Ekhlas Abdalla
• Norhan Abdalla
• Awab Abdallah

• Orofacial Pain Dentistry in Rockville, MD
• Providers in Rockville, MD by specialty
• Orofacial Pain Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.