Joseph A Quattrocchi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3921 Issued in NE

Practice address

2921 13TH Street
Columbus, NE 68601-4829

Phone

(402) 564-7180

Fax

(402) 564-7042

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Stephen J Mancuso DDS PC

  • Dental Clinic/Center
  • Columbus, NE
  • NPI 1407736234
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083728489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 13TH STREET",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 13TH STREET",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014829",
            "telephone_number": "402-564-7180",
            "fax_number": "402-564-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATTROCCHI",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "3921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055108713",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Promedcare, Inc.
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• Rainbow Center Inc
• Brenda E Ramos
• Ricardo Ramos
• Jheny Rangel Aparicio
• Lindy M Ranslem, PT

• General Practice Dentistry in Columbus, NE
• Providers in Columbus, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.