Active NPI
Kayleen Michelle Quinn, D.M.D.
- Dentist
- Ocala, FL
National Provider Identifier
1205848090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL17716
- Practice address
- 430 SE 17TH St
Ocala, FL 34471-4433 - Phone
- (352) 732-3425
- Fax
- (352) 732-4140
- NPI assigned
- Aug 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL17716 | FL | Primary |
Addresses
Primary practice location
430 SE 17TH St
Ocala, FL 34471-4433
Mailing address
5333 SW 75TH St Apt S106
Gainesville, FL 32608-7451
Phone (352) 682-4683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL17716 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Impressions, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205848090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 SW 75TH ST APT S106",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326087451",
"telephone_number": "352-682-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 SE 17TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344714433",
"telephone_number": "352-732-3425",
"fax_number": "352-732-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "KAYLEEN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DL17716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.