Individual provider Active NPI

Abigail Mina Stringer Willitsford, D.M.D.

  • Dentist
  • Ellicott City, MD
National Provider Identifier
1992024251
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15086 Issued in MD
Practice address
9917 Carrigan Dr
Ellicott City, MD 21042-3617
Phone
(814) 404-6601
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19266 FL
Dentist 122300000X 15086 MD Primary

Addresses

Primary practice location

9917 Carrigan Dr
Ellicott City, MD 21042-3617

Mailing address

9917 Carrigan Dr
Ellicott City, MD 21042-3617
Phone (814) 404-6601

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
DN19266FLMDDentist
15086MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1992024251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9917 CARRIGAN DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423617",
            "telephone_number": "814-404-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9917 CARRIGAN DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423617",
            "telephone_number": "814-404-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLITSFORD",
        "first_name": "ABIGAIL",
        "middle_name": "MINA STRINGER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19266",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.