Brenda D Donato Quintana, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3758 Issued in AR

Practice address

6323 Rogers Ave
Fort Smith, AR 72903-3945

Phone

(479) 434-5888

Fax

(479) 434-5889

NPI assigned

Nov 6, 2006

Last updated

Jun 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arkansas Dental Professionals Mongrain PA

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1225179088
  Medicare reassignment NPD
• Dental Health Associates of Arkansas, P.a.

  dba MyDentist-Forth Smith

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1760802763
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1467531731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033945",
            "telephone_number": "479-434-5888",
            "fax_number": "479-434-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033945",
            "telephone_number": "479-434-5888",
            "fax_number": "479-434-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO QUINTANA",
        "first_name": "BRENDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katie Jean Donovan, APRN
• Kevin R Doolittle, PT
• Mohankumar Doraiswamy
• Doreen Saltiel, MD, PLLC (Total Vein Care)

• Dentist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.

Verify at the official NPI Registry.