Organization Active NPI

Quincy Oral & Maxillofacial Surgery, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Quincy, IL
National Provider Identifier
1316120033
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C.
Practice address
3915 Maine St
Suite 3
Quincy, IL 62305-5843
Phone
(217) 222-9434
Fax
(217) 222-0671
NPI assigned
Dec 17, 2007
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Daniel RiggsNPI 1548341191
Title
Vice-President
Phone
(217) 222-9434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

3915 Maine St
Suite 3
Quincy, IL 62305-5843

Mailing address

3915 Maine St
Suite 3
Quincy, IL 62305-5843
Phone (217) 222-9434

National Provider Directory

National Provider Directory

Locations

3215 Maine St
Ste B
Quincy, IL 62301
Phone (217) 222-9434

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1316120033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 MAINE ST",
            "address_2": "SUITE 3",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055843",
            "telephone_number": "217-222-9434",
            "fax_number": "217-222-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 MAINE ST",
            "address_2": "SUITE 3",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055843",
            "telephone_number": "217-222-9434",
            "fax_number": "217-222-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "217-222-9434"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.