Individual provider Active NPI

Diana L Oquinn, DDS

  • Dentist
  • Plano, TX
National Provider Identifier
1205070372
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17184 Issued in TX
Practice address
4909 W Park Blvd
#117
Plano, TX 75093-2311
Phone
(972) 519-1990
Fax
(972) 964-0047
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17184 TX Primary
Dentist 122300000X DN 10035 FL

Addresses

Primary practice location

4909 W Park Blvd
#117
Plano, TX 75093-2311

Mailing address

4909 W Park Blvd
#117
Plano, TX 75093-2311
Phone (972) 519-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151202001491 TX Order and Referring Only - DentistPractitioner - Dentist 5193025880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17184TXMDAddiction (Substance Use Disorder) Counselor
DN 10035FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1205070372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 W PARK BLVD",
            "address_2": "#117",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932311",
            "telephone_number": "972-519-1990",
            "fax_number": "972-964-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 W PARK BLVD",
            "address_2": "#117",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932311",
            "telephone_number": "972-519-1990",
            "fax_number": "972-964-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OQUINN",
        "first_name": "DIANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17184",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 10035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.