NPIMap

Organization Active NPI

Dr. Yvan Quintana DDS Inc.

Doing business as Williams Dental Care

  • Dentist
  • Williams, CA
National Provider Identifier
1174911283
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59157 Issued in CA
Legal business name
DR. YVAN QUINTANA DDS INC.
Doing business as
Williams Dental Care
Practice address
295 E St
Suite C
Williams, CA 95987-5813
Phone
(530) 501-4530
NPI assigned
Dec 26, 2014
Last updated
Dec 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Dr. Yvan Quintana, DDS
Title
Owner Dentist
Phone
(916) 799-6073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59157 CA Primary

Addresses

Primary practice location

295 E St
Suite C
Williams, CA 95987-5813

Mailing address

295 E St
Suite C
Williams, CA 95987-5813
Phone (530) 501-4530

Other names 1

  • Williams Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1174911283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E ST",
            "address_2": "SUITE C",
            "city": "WILLIAMS",
            "state": "CA",
            "postal_code": "959875813",
            "telephone_number": "530-501-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 E ST",
            "address_2": "SUITE C",
            "city": "WILLIAMS",
            "state": "CA",
            "postal_code": "959875813",
            "telephone_number": "530-501-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. YVAN QUINTANA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "YVAN",
        "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": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williams, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.