Active NPI
Sophia Quinn, DMD
- Dentist
- Las Vegas, NV
National Provider Identifier
1376985705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6357
- Practice address
- 7175 W Lake Mead Blvd
Suite 110
Las Vegas, NV 89128-1302 - Phone
- (702) 228-9334
- NPI assigned
- Jul 26, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6357 | NV | Primary |
Addresses
Primary practice location
7175 W Lake Mead Blvd
Suite 110
Las Vegas, NV 89128-1302
Mailing address
8701 Purple Wisteria St
Las Vegas, NV 89131-1204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170106000844 | NV | Order and Referring Only - Dentist | 6204117229 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6357 | NV | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1376985705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 PURPLE WISTERIA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891311204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7175 W LAKE MEAD BLVD",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281302",
"telephone_number": "702-228-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "SOPHIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.