William James Quinn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1976 Issued in ND

Practice address

Prairie Rose Family Dentists
121 E. Front Avenue
Bismarck, ND 58504

Phone

(701) 223-1194

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 1, 2017 through Sep 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concept Dentistry, PC

  • Dental Clinic/Center
  • West Fargo, ND
  • NPI 1528455813
  NPD (past)
• Prairie Rose Family Dentists

  • Dentist
  • Bismarck, ND
  • NPI 1689117830
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1205829900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14687 34TH ST SE",
            "city": "WHEATLAND",
            "state": "ND",
            "postal_code": "580799512",
            "telephone_number": "701-202-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRAIRIE ROSE FAMILY DENTISTS",
            "address_2": "121 E. FRONT AVENUE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58504",
            "telephone_number": "701-223-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Concept Dentistry",
            "address_2": "5675 26th Ave S Ste 116",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581048599",
            "country_code": "US",
            "telephone_number": "701-532-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine T Puetz, MD
• Matthew Puetz, DC
• Lea M Quam
• Michael Quast, MD
• Angela Rose Quinlen, NCLMTB
• Jacqueline Elaine Quisno, MD
• R&R Chiropractic PC
• Radiology Consultants PLLC
• Alexis Radke
• Jessica Radtke

• General Practice Dentistry in Bismarck, ND
• Providers in Bismarck, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.