Individual provider Active NPI

Maria Victoria Quiroga-Halprin, D.M.D

  • General Practice Dentistry
  • Brighton, MA
National Provider Identifier
1124240379
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9291 Issued in MA
Practice address
495 Western Ave
Brighton, MA 02135-1007
Phone
(617) 783-0500
Fax
(617) 987-8222
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9291 MA Primary

Addresses

Primary practice location

495 Western Ave
Brighton, MA 02135-1007

Mailing address

15 Cliff St
Quincy, MA 02169-1419
Phone (617) 783-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130116000229 MA Practitioner - Oral Surgery 3274786694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9291MAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: mquirogahalpin369017@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1124240379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLIFF ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691419",
            "telephone_number": "617-783-0500",
            "fax_number": "617-783-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WESTERN AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351007",
            "telephone_number": "617-783-0500",
            "fax_number": "617-987-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROGA-HALPRIN",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "9291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.