Individual provider Active NPI

Stephany Quinlan, D.M.D.

  • General Practice Dentistry
  • Groveland, MA
National Provider Identifier
1255727806
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18018 Issued in MA
Practice address
60 Gardner St
Groveland, MA 01834-1211
Phone
(978) 372-8700
Fax
(978) 372-5684
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18018 MA Primary

Addresses

Primary practice location

60 Gardner St
Groveland, MA 01834-1211

Mailing address

60 Gardner St
Groveland, MA 01834-1211
Phone (978) 372-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18018MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William H Darke DDS PC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1255727806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GARDNER ST",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341211",
            "telephone_number": "978-372-8700",
            "fax_number": "978-372-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GARDNER ST",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341211",
            "telephone_number": "978-372-8700",
            "fax_number": "978-372-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "STEPHANY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, MA

Sources for this page

Verify at the official NPI Registry.