Individual provider Active NPI

Maureen Ann Quinn-Sheehan, D.D.S.

  • Pediatric Dentistry
  • Chicopee, MA
National Provider Identifier
1053342642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0017518 Issued in MA
Practice address
1146 Memorial Dr
Chicopee, MA 01020-3960
Phone
(413) 593-8904
Fax
(413) 593-5366
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0017518 MA Primary

Addresses

Primary practice location

1146 Memorial Dr
Chicopee, MA 01020-3960

Mailing address

47 Gary Dr
Westfield, MA 01085-4596
Phone (413) 572-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 13, 2016 through Jun 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0017518MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Quinn Family Dental LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mquinn20589@direct.ctc.masshiway.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053342642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GARY DR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854596",
            "telephone_number": "413-572-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 MEMORIAL DR",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010203960",
            "telephone_number": "413-593-8904",
            "fax_number": "413-593-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN-SHEEHAN",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "0017518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.