Active NPI
Emilynda V Quinones, D.D.S.
- Dentist
- Ferndale, WA
National Provider Identifier
1366721797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60453225
- Practice address
- 6004 Portal Way Unit a
Ferndale, WA 98248-8382 - Phone
- (360) 384-3440
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60652 | CA | |
| Dentist | 122300000X | 27556 | TX | |
| Dentist | 122300000X | DE60453225 | WA | Primary |
Addresses
Primary practice location
6004 Portal Way Unit a
Ferndale, WA 98248-8382
Mailing address
6004 Portal Way Unit a
Ferndale, WA 98248-8382
Phone (360) 384-3440
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 |
|---|---|---|---|
| 27556 | TX | MD | Dentist |
| DE60453225 | WA | MD | Dentist |
| 60652 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a Sacro DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1366721797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6004 PORTAL WAY UNIT A",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982488382",
"telephone_number": "360-384-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6004 PORTAL WAY UNIT A",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982488382",
"telephone_number": "360-384-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "EMILYNDA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60652",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27556",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60453225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.