Individual provider Active NPI

Quan Zhao

  • General Practice Dentistry
  • New Bedford, MA
National Provider Identifier
1447655642
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856763 Issued in MA
Practice address
1054 Kings Hwy
New Bedford, MA 02745-4949
Phone
(617) 519-5271
NPI assigned
Oct 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856763 MA Primary

Addresses

Primary practice location

1054 Kings Hwy
New Bedford, MA 02745-4949

Mailing address

4061 Kirkpatrick LN Ste 100
Flower Mound, TX 75028-1959
Phone (972) 355-2424

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
DN1856763MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Quan Zhao DMD PLLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

4061 Kirkpatrick Ln
Ste 100
Flower Mound, TX 75028
Phone (972) 355-2424

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1447655642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 KIRKPATRICK LN STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281959",
            "telephone_number": "972-355-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 KINGS HWY",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454949",
            "telephone_number": "617-519-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "QUAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.