Organization Active NPI

Dr Quintana Dental Corporation Inc

  • Dental Clinic/Center
  • Woodland, CA
National Provider Identifier
1114679156
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jan 20, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.