Alan Douglas Quam, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8275 Issued in MN

Practice address

1301 Hawthorne St
Alexandria, MN 56308-2555

Phone

(320) 762-0279

NPI assigned

Sep 26, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Woodland Dentistry

  • Clinic/Center
  • Alexandria, MN
  • NPI 1124407143
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467553107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HAWTHORNE ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082555",
            "telephone_number": "320-762-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HAWTHORNE ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082555",
            "telephone_number": "320-762-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAM",
        "first_name": "ALAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Powell, DC
• Primewest Rural Minnesota Health Care Access Initiative
• Anastas C Provatas, MD
• Natasha Pulliam
• Jolene Anna Pundsack, MS, LPCC,
• Katrina Marie Rachuy, L.AC
• Amanda Radtke
• Marion B Raflores, MD
• Kathleen J Raml, MSW, LICSW, CSW-PIP
• Matthew A. Raml, MS, ATC

• General Practice Dentistry in Alexandria, MN
• Providers in Alexandria, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.