Organization Active NPI

Quinn Stephanie Dental Group, Professional Corporation

Doing business as Stephanie Dental Group

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1376726885
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
QUINN STEPHANIE DENTAL GROUP, PROFESSIONAL CORPORATION
Doing business as
Stephanie Dental Group
Practice address
175 N Stephanie St
Ste 170
Henderson, NV 89074-8829
Phone
(702) 997-5958
Fax
(702) 565-4878
NPI assigned
Dec 7, 2007
Last updated
Feb 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Dr. Sophia B Quinn, DMD
Title
Owner Doctor
Phone
(702) 997-5958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

175 N Stephanie St
Ste 170
Henderson, NV 89074-8829

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • STEPHANIE DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

175 N Stephanie St
Ste 170
Henderson, NV 89074
Phone (702) 997-5958

Practitioners & affiliated clinicians

Practitioners 11

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": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1376726885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N STEPHANIE ST",
            "address_2": "STE 170",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748829",
            "telephone_number": "702-997-5958",
            "fax_number": "702-565-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN STEPHANIE DENTAL GROUP, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "702-997-5958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEPHANIE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.