Active NPI
Charles L Quinlan DDS Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fresno, CA
National Provider Identifier
1194911974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 15763
- Legal business name
- CHARLES L QUINLAN DDS INC
- Practice address
- 7055 N. Fresno Street
#203
Fresno, CA 93720 - Phone
- (559) 448-9983
- Fax
- (559) 448-9986
- NPI assigned
- Sep 14, 2007
- 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. Charles L Quinlan, DDS
- Title
- President
- Phone
- (559) 448-9983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 15763 | CA | Primary |
Addresses
Primary practice location
7055 N. Fresno Street
#203
Fresno, CA 93720
Mailing address
7055 N. Fresno Street
#203
Fresno, CA 93720
Phone (559) 448-9983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1576301 | Other | CA | DENTI CAL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253750400000",
"number": "1194911974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7055 N. FRESNO STREET",
"address_2": "#203",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-448-9983",
"fax_number": "559-448-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 N. FRESNO STREET",
"address_2": "#203",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-448-9983",
"fax_number": "559-448-9986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES L QUINLAN DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-14",
"last_updated": "2009-09-24",
"status": "A",
"authorized_official_last_name": "QUINLAN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-448-9983",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "15763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI CAL",
"identifier": "D1576301",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.