Active NPI
Franklin Webster Quillin Jr., DDS
- Pediatric Dentistry
- Barboursville, WV
National Provider Identifier
1356362156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 1947
- Practice address
- 6171 Childers Rd
Barboursville, WV 22504 - Phone
- (304) 736-8906
- Fax
- (304) 736-8961
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1947 | WV | Primary |
| Pediatric Dentistry | 1223P0221X | 4804 | FL |
Addresses
Primary practice location
6171 Childers Rd
Barboursville, WV 22504
Mailing address
6171 Childers Rd
Barboursville, WV 22504
Phone (304) 736-8906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0138600000 | Medicaid | WV |
Other names 1
- Franklin W Quillin Jr.
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 |
|---|---|---|---|
| 4804 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356362156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6171 CHILDERS RD",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "22504",
"telephone_number": "304-736-8906",
"fax_number": "304-736-8961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6171 CHILDERS RD",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "22504",
"telephone_number": "304-736-8906",
"fax_number": "304-736-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLIN",
"first_name": "FRANKLIN",
"middle_name": "WEBSTER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WV",
"license": "1947",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "4804",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0138600000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRANKLIN",
"last_name": "QUILLIN",
"middle_name": "W",
"suffix": "JR.",
"credential": "DDS PROF CORP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.