ABINGDON PEDIATRIC DENTISTRY — NPI 1871881912 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in ABINGDON, VA)

CMS-1500 Box 24J / 33a • NPI

1871881912

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1223P0221X

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

465 W MAIN ST, ABINGDON, VA, 24210-2630

✓ 9-Digit EDI 837 ZIP+4 (24210-2630)

Practice Phone & Referral Fax

(276) 739-7942

Fax: (276) 739-7943

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871881912 (ABINGDON PEDIATRIC DENTISTRY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1871881912` (NPI-2 Organization / Facility)
Provider / Legal Name	ABINGDON PEDIATRIC DENTISTRY
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223P0221X` (Dentist, Pediatric Dentistry)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	465 W MAIN ST, ABINGDON, VA, 24210-2630
Practice Telephone / Fax	Tel: (276) 739-7942 \| Fax: (276) 739-7943
Administrative Mailing Address	PO BOX 1925, ABINGDON, VA, 24212-1925
Enumeration & Last Sync	Enumerated: 2011-07-11 \| CMS Record Updated: 2011-07-11
Authorized Official	EVELYN ROLON (Pediodontist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

465 W MAIN ST, ABINGDON, VA, 24210-2630

🗺️ Open in Google Maps 🏥 More Providers in ABINGDON

🔒 Are you ABINGDON PEDIATRIC DENTISTRY? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1223P0221X)

What Does Taxonomy Code 1223P0221X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223P0221X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABINGDON PEDIATRIC DENTISTRY)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1223P0221X` — Dentist, Pediatric Dentistry Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: VA \| License: `0401410901` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ABINGDON PEDIATRIC DENTISTRY (NPI #1871881912)