Active NPI
Luis Fernando Quiros, DDS
- Dentist
- Smithfield, VA
National Provider Identifier
1003191859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413373
- Practice address
- 12746 Courthouse Hwy
Smithfield, VA 23430-7117 - Phone
- (757) 357-6779
- Fax
- (757) 357-2722
- NPI assigned
- Oct 12, 2011
- Last updated
- Apr 24, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401413373 | VA | Primary |
Addresses
Primary practice location
12746 Courthouse Hwy
Smithfield, VA 23430-7117
Mailing address
12746 Courthouse Hwy
Smithfield, VA 23430-7117
Phone (757) 357-6779
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413373 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smithfield Dental | Past | Accepting new patients | |
| Smithfiel Dental PC | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Smithfield, VA
- NPI 1487910352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1003191859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12746 COURTHOUSE HWY",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234307117",
"telephone_number": "757-357-6779",
"fax_number": "757-357-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12746 COURTHOUSE HWY",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234307117",
"telephone_number": "757-357-6779",
"fax_number": "757-357-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIROS",
"first_name": "LUIS",
"middle_name": "FERNANDO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-12",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, VA
- Veanna R Pitts, MSW
- Shannon M Pope, MD
- Thomas C Pope, MD
- Prioritize Health LLC
- Private Healthcare Facilities
- Melika Rahmani-Mofrad, DDS
- Rai Care Centers of Virginia I, LLC (Rai - S. Church - Smithfield)
- Linda Reed
- Renewmind Outpatient (Renewmind Outpatient, LLC)
- Riverside Hospital Inc (Riverside Smithfield Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.