Individual provider Active NPI

Quintus Avery Dowell

  • Massage Therapist
  • Farmington Hills, MI
National Provider Identifier
1043592660
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
28275 Orchard Lake Rd
Suite 111
Farmington Hills, MI 48334-3766
Phone
(248) 476-2592
Fax
(248) 476-2592
NPI assigned
Sep 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

28275 Orchard Lake Rd
Suite 111
Farmington Hills, MI 48334-3766

Mailing address

27440 Kalish CT
Farmington Hills, MI 48334-4111
Phone (248) 476-2592

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

NPI Registry JSON

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1043592660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27440 KALISH CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344111",
            "telephone_number": "248-476-2592",
            "fax_number": "248-476-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28275 ORCHARD LAKE RD",
            "address_2": "SUITE 111",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343766",
            "telephone_number": "248-476-2592",
            "fax_number": "248-476-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "QUINTUS",
        "middle_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-10",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.