Organization Active NPI

Matthew H Quinlivan DDS and Associates

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1164583506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7077 Issued in NC
Legal business name
MATTHEW H QUINLIVAN DDS AND ASSOCIATES
Practice address
149 W Chatham St
Cary, NC 27511-3332
Phone
(919) 467-8111
Fax
(919) 463-0105
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew Howard Quinlivan, DDSNPI 1639230055
Title
Owner
Phone
(919) 467-8111

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7077 NC Primary

Addresses

Primary practice location

149 W Chatham St
Cary, NC 27511-3332

Mailing address

149 W Chatham St
Cary, NC 27511-3332
Phone (919) 467-8111

Other identifiers 1

IdentifierTypeStateIssuer
89902CVMedicaidNC

National Provider Directory

National Provider Directory

Locations

149 W Chatham St
Cary, NC 27511
Phone (919) 467-8111

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164583506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W CHATHAM ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113332",
            "telephone_number": "919-467-8111",
            "fax_number": "919-463-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W CHATHAM ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113332",
            "telephone_number": "919-467-8111",
            "fax_number": "919-463-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW H QUINLIVAN DDS AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINLIVAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-467-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902CV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.