Individual provider Active NPI

Anthony T Quinta, D.M.D.

  • Periodontics
  • Springfield, MA
National Provider Identifier
1487975231
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN1855406 Issued in MA
Practice address
1795 Main St Ste 202
Springfield, MA 01103-1015
Phone
(413) 739-5685
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN1855406 MA Primary

Addresses

Primary practice location

1795 Main St Ste 202
Springfield, MA 01103-1015

Mailing address

1795 Main St Ste 202
Springfield, MA 01103-1015
Phone (414) 739-5685

Other practice location 1

190 Russell St
Hadley, MA 01035-9542
Phone (413) 586-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150529001965 MA Order and Referring Only - DentistPractitioner - Dentist 1052632247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855406MAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Gold, Moini & Witzenberger, P.C. Periodontics Past Accepting new patients
Anthony T Quinta DMD LLC Periodontics Past Accepting new patients

Organizations & group practices 2

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487975231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST STE 202",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031015",
            "telephone_number": "414-739-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST STE 202",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031015",
            "telephone_number": "413-739-5685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Russell St",
            "address_purpose": "LOCATION",
            "city": "Hadley",
            "state": "MA",
            "postal_code": "010359542",
            "country_code": "US",
            "telephone_number": "413-586-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTA",
        "first_name": "ANTHONY",
        "middle_name": "T",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1855406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.