Organization Active NPI

Quailhearst Corp

  • Dental Clinic/Center
  • Redding, CA
National Provider Identifier
1467937367
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
QUAILHEARST CORP
Practice address
2775 Park Marina Dr Ste a
Redding, CA 96001-2840
Phone
(530) 949-8221
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Ms. Lynni Miller, RDH
Title
President
Phone
(530) 949-8221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2775 Park Marina Dr Ste a
Redding, CA 96001-2840

Mailing address

PO Box 71076
Shasta Lake, CA 96079-1076
Phone (530) 949-8221

National Provider Directory

National Provider Directory

Locations

2775 Park Marina Dr
Ste A
Redding, CA 96001
Phone (530) 244-4260

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1467937367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71076",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960791076",
            "telephone_number": "530-949-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 PARK MARINA DR STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012840",
            "telephone_number": "530-949-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAILHEARST CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LYNNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-949-8221",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.