Active NPI
Sherrod L. Quin D.D.S.
- Dentist
- New Orleans, LA
National Provider Identifier
1063597094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- P114
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00064704 | Medicaid | MS | |
| 05777079 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.