Organization Active NPI

Sherrod L. Quin D.D.S.

  • Dentist
  • New Orleans, LA
National Provider Identifier
1063597094
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
P114 Issued in LA
Legal business name
SHERROD L. QUIN D.D.S.
Practice address
1100 Florida Ave
Box 137
New Orleans, LA 70119-2714
Phone
(504) 941-8471
Fax
(504) 941-8389
NPI assigned
Oct 26, 2006
Last updated
Oct 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Dr. Sherrod L. Quin, D.D.S.
Title
Faculty
Phone
(504) 941-8471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X P114 LA Primary

Addresses

Primary practice location

1100 Florida Ave
Box 137
New Orleans, LA 70119-2714

Mailing address

1100 Florida Ave
Box 137
New Orleans, LA 70119-2714
Phone (504) 941-8471

Other identifiers 2

IdentifierTypeStateIssuer
00064704MedicaidMS
05777079MedicaidMS

National Provider Directory

National Provider Directory

Locations

1100 Florida Ave
Ste 137
New Orleans, LA 70119
Phone (504) 941-8257

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1063597094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVE",
            "address_2": "BOX 137",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192714",
            "telephone_number": "504-941-8471",
            "fax_number": "504-941-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVE",
            "address_2": "BOX 137",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192714",
            "telephone_number": "504-941-8471",
            "fax_number": "504-941-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERROD L. QUIN D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "QUIN",
        "authorized_official_first_name": "SHERROD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FACULTY",
        "authorized_official_telephone_number": "504-941-8471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "P114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00064704",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05777079",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.