Cristobal Alberto Quevedo, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DL10997 Issued in MA

Practice address

761 Harrison Ave Apt 205
Boston, MA 02118-2362

Phone

(857) 413-0631

NPI assigned

Jul 2, 2010

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1073825352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 HARRISON AVE APT 205",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182362",
            "telephone_number": "857-413-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 HARRISON AVE APT 205",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182362",
            "telephone_number": "857-413-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEVEDO",
        "first_name": "CRISTOBAL",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DL10997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Matthew Quelle, STUDENT DMD
• Gabriela Querejeta Roca, M.D.
• John Querques, MD
• Luisa Daniela Quesada Arias, MD
• Alicia M Quesnel, M.D.
• Melissa Quezada Santana
• Mariana Brenda Quezada, DNP
• Daniel Simon Quiat, M.D, PH.D
• Stephanie Quiceno
• Alexis Susan Quigg, ATC

• Oral and Maxillofacial Surgery (Dentist) in Boston, MA
• Providers in Boston, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.