Active NPI
Quintarias Terell Lester, DDS
- Dental Clinic/Center
- Saint Michael, MN
National Provider Identifier
1235621863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D14323
- Practice address
- 654 Central Ave E
Saint Michael, MN 55376-9632 - Phone
- (763) 703-7529
- NPI assigned
- May 30, 2018
- Last updated
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D14323 | MN | Primary |
| Dentist | 122300000X | 00000 | GA |
Addresses
Primary practice location
654 Central Ave E
Saint Michael, MN 55376-9632
Mailing address
654 Central Ave E
Saint Michael, MN 55376-9632
Phone (637) 703-7529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Other | UNKNOWN |
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 |
|---|---|---|---|
| 00000 | GA | MD | Behavior Technician |
| D14323 | MN | MD | Dental Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk and Honey Dental PLLC | Dental | Current | 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.
-
- Dental Clinic/Center
- Saint Paul, MN
- NPI 1013748730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1235621863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 CENTRAL AVE E",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553769632",
"telephone_number": "637-703-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 CENTRAL AVE E",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553769632",
"telephone_number": "763-703-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTER",
"first_name": "QUINTARIAS",
"middle_name": "TERELL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-30",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MN",
"license": "D14323",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "00000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNKNOWN",
"identifier": "UNKNOWN",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Michael, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.