Individual provider Active NPI

Franklin Webster Quillin Jr., DDS

  • Pediatric Dentistry
  • Barboursville, WV
National Provider Identifier
1356362156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1947 Issued in WV
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0138600000MedicaidWV

Other names 1

  • Franklin W Quillin Jr. Professional name

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

LicenseStateTypeSpecialty
4804FLMDPediatric 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.

Verify at the official NPI Registry.