Active NPI
Dr Quintana Dental Corporation Inc
- Dental Clinic/Center
- Woodland, CA
National Provider Identifier
1114679156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DR QUINTANA DENTAL CORPORATION INC
- Practice address
- 361 W Main St Ste B
Woodland, CA 95695-6829 - Phone
- (530) 230-9555
- NPI assigned
- Jan 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yvan Carlos Quintana Castrillon, DDS
- Title
- Owner Dentist
- Phone
- (916) 799-6073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
361 W Main St Ste B
Woodland, CA 95695-6829
Mailing address
361 W Main St Ste B
Woodland, CA 95695-6829
Phone (530) 230-9555
Other names 1
- Westgate Dental Care
National Provider Directory
National Provider DirectoryLocations
361 W Main St
Ste B
Woodland, CA 95695
Phone (530) 230-9555
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Sacramento, CA
- NPI 1871816686
-
- Dentist
- Woodland, CA
- NPI 1386339281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642636800000",
"number": "1114679156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 W MAIN ST STE B",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956956829",
"telephone_number": "530-230-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 W MAIN ST STE B",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956956829",
"telephone_number": "530-230-9555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR QUINTANA DENTAL CORPORATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "QUINTANA CASTRILLON",
"authorized_official_first_name": "YVAN CARLOS",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "916-799-6073",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Westgate Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.