Organization Active NPI

Sandra Barlow Doonquah, DDS, PLLC

  • Dentist
  • Reidsville, NC
National Provider Identifier
1316239908
Registry record updated May 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8804 Issued in NC
Legal business name
SANDRA BARLOW DOONQUAH, DDS, PLLC
Practice address
2509 Richardson Dr
Suite B
Reidsville, NC 27320-5900
Phone
(336) 394-4191
NPI assigned
May 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2011

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

Authorized official

Name
Dr. Sandra Barlow Doonquah, DDS
Title
Owner
Phone
(336) 394-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8804 NC Primary

Addresses

Primary practice location

2509 Richardson Dr
Suite B
Reidsville, NC 27320-5900

Mailing address

306 Lakewalk Dr
Reidsville, NC 27320-9608
Phone (336) 394-4191

Other identifiers 1

IdentifierTypeStateIssuer
89902H6MedicaidNC

National Provider Directory

National Provider Directory

Locations

2509 Richardson Dr
Ste B
Reidsville, NC 27320
Phone (336) 394-4191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305331200000",
    "number": "1316239908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LAKEWALK DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209608",
            "telephone_number": "336-394-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 RICHARDSON DR",
            "address_2": "SUITE B",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205900",
            "telephone_number": "336-394-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA BARLOW DOONQUAH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-14",
        "last_updated": "2011-05-14",
        "status": "A",
        "authorized_official_last_name": "DOONQUAH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "BARLOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-394-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902H6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; 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.