Active NPI
Sandra M King
- Orthopaedic Surgery Physician
- Monroe, NC
National Provider Identifier
1952385809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 22879
- Practice address
- 1310 New Salem Rd
Monroe, NC 28110-9696 - Phone
- (704) 242-0036
- NPI assigned
- Dec 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 22879 | NC | Primary |
Addresses
Primary practice location
1310 New Salem Rd
Monroe, NC 28110-9696
Mailing address
1310 New Salem Rd
Monroe, NC 28110-9696
Phone (704) 242-0036
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N22879 | Medicaid | SC | |
| 7910030 | Medicaid | NC |
Other names 1
- Dr. Sandra M Abda
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22879 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Bone & Joint PA | Orthopaedic Surgery | Past | Accepting new patients |
| Carolina Bone & Joint PA | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Irmo, SC
- NPI 1699261917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1952385809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 NEW SALEM RD",
"city": "MONROE",
"state": "NC",
"postal_code": "281109696",
"telephone_number": "704-242-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 NEW SALEM RD",
"city": "MONROE",
"state": "NC",
"postal_code": "281109696",
"telephone_number": "704-242-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SANDRA",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "22879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N22879",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7910030",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "ABDA",
"middle_name": "M",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.