Kiley McQuinn

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010877A Issued in IN

Practice address

650 Fairgrounds Rd
Tipton, IN 46072-8599

Phone

(765) 675-7595

NPI assigned

Mar 13, 2007

Last updated

Apr 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• McQuinn Family Dentistry PC

  • General Practice Dentistry
  • Tipton, IN
  • NPI 1588890776
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1063545515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 HICKORY DR",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460728348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FAIRGROUNDS RD",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460728599",
            "telephone_number": "765-675-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUINN",
        "first_name": "KILEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010877A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori M Wisely M D
• Mary Katherine Mariotti, FNP-BC
• Christopher McDaniel, DC
• McQuinn Family Dentistry PC
• Kassey McQuinn, D.D.S.
• Mark McQuinn, DDS
• Michael E Harper MD PC
• Staci Jo Middleton, NP
• Midwest Eye Consultants, P.C. (Midwest Eye Consultants #04)
• Julie Ann Miller, MSW LCSW

• General Practice Dentistry in Tipton, IN
• Providers in Tipton, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.