Organization Active NPI

Frederick E. Quirante, DPM

  • Durable Medical Equipment & Medical Supplies
  • Nederland, TX
National Provider Identifier
1093991523
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREDERICK E. QUIRANTE, DPM
Practice address
1323 S 27TH St Ste 200
Nederland, TX 77627-6257
Phone
(409) 729-4225
Fax
(409) 729-7533
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Shelly Glynn
Title
Office Manager
Phone
(409) 729-4225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1323 S 27TH St Ste 200
Nederland, TX 77627-6257

Mailing address

1323 S 27TH St Ste 200
Nederland, TX 77627-6257
Phone (409) 729-4225

Other identifiers 2

IdentifierTypeStateIssuer
018601701MedicaidTX
184154601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930029794 TX DME Supplier - Physician - Podiatry 9133240765 Practice locations: Nederland, TX

National Provider Directory

National Provider Directory

Locations

1323 S 27th St
Ste 200
Nederland, TX 77627
Phone (409) 729-4225

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1093991523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 S 27TH ST STE 200",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276257",
            "telephone_number": "409-729-4225",
            "fax_number": "409-729-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 S 27TH ST STE 200",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276257",
            "telephone_number": "409-729-4225",
            "fax_number": "409-729-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK E. QUIRANTE, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-729-4225"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018601701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184154601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.