Anthony Quintana, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD4641 Issued in NM

Practice address

703 N Dustin Ave
Farmington, NM 87401-6101

Phone

(505) 564-9700

NPI assigned

Mar 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Desert Hills Dental Care, LLC

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1275654410
  NPD (past)
• Desert Hills Dental Group

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1659387090
  NPD (past)
• Farmington Family Dentistry L.L.C.

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1184047961
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1306207246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N DUSTIN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N DUSTIN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016101",
            "telephone_number": "505-564-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "I University of New Mexico",
            "address_2": "MSC 06-3500",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87131",
            "country_code": "US",
            "telephone_number": "505-925-4031",
            "fax_number": "505-925-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 E 30th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874014503",
            "country_code": "US",
            "telephone_number": "505-327-4863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "ANTHONY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-18",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Dawn Pulsipher, LMSW
• Rick J Quevedo
• Roberto Quevedo
• Quickvision Inc.
• Yarely Quintana-Chavez
• Charmin Marie Quintana, AUD
• Susan Ellen Rago, PA-C
• Krista Leigh Rainwater, LPC
• Alice A Rakestraw, LMHC
• Thomas John Ramage IV, DPT

• Dentist in Farmington, NM
• Providers in Farmington, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.