Organization Active NPI

Quantum Family Care, P.a.

  • Family Medicine Physician
  • Denton, TX
National Provider Identifier
1104837384
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9753 Issued in TX
Legal business name
QUANTUM FAMILY CARE, P.A.
Practice address
3303 Colorado Blvd
Suite a
Denton, TX 76210-6815
Phone
(940) 484-1887
Fax
(940) 591-0458
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Filippo Masciarelli, M.D.NPI 1639172430
Title
President/Physician
Phone
(940) 484-1887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X J9753 TX Primary

Addresses

Primary practice location

3303 Colorado Blvd
Suite a
Denton, TX 76210-6815

Mailing address

3303 Colorado Blvd
Suite a
Denton, TX 76210-6812
Phone (940) 484-1887

Other identifiers 2

IdentifierTypeStateIssuer
080942801MedicaidTX
122082402OtherTXMEDICAID INDIVIDUAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1104837384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 COLORADO BLVD",
            "address_2": "SUITE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106812",
            "telephone_number": "940-484-1887",
            "fax_number": "940-591-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 COLORADO BLVD",
            "address_2": "SUITE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106815",
            "telephone_number": "940-484-1887",
            "fax_number": "940-591-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM FAMILY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "MASCIARELLI",
        "authorized_official_first_name": "FILIPPO",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "940-484-1887",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080942801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL PROVIDER NUMBER",
            "identifier": "122082402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.