Patrick J McQuitty

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD2364 Issued in NM

Practice address

2008 Saint Michaels Dr
#B
Santa Fe, NM 87505-7682

Phone

(505) 474-4993

NPI assigned

Nov 21, 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 3

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.

• Small Smiles Dentistry for Children, Santa Fe, PC

  • General Practice Dentistry
  • Santa Fe, NM
  • NPI 1598830929
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104991538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033111",
            "telephone_number": "719-583-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 SAINT MICHAELS DR",
            "address_2": "#B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057682",
            "telephone_number": "505-474-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUITTY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51424061",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "0018257",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1771969",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan McNeil, MS, RD, LD
• Steven J. McNeill
• David Bradford McNiel, MD
• Robert McPherson, D.D.S.
• Madison N McQuitty, DMD
• Jhoecelyn McRea
• Kasia McRoberts, LPCC
• Rebecca McSorley, M.D.
• Ann Greer McSpadden, LCSW
• Me Town Enterprises LLC

• General Practice Dentistry in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.