Margaret Ann Quiller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105293 Issued in CO

Practice address

Highway 264, MP 388
Polacca, AZ 86042-6042

Phone

(928) 737-6000

Fax

(928) 737-6168

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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 TX

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

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.

• DHHS IHS Phoenix Area

  • Critical Access Hospital
  • Polacca, AZ
  • NPI 1356628028

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1528069028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4000",
            "address_2": "HOPI HEALTHCARE CENTER",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "806420642",
            "telephone_number": "928-737-6000",
            "fax_number": "928-737-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 264, MP 388",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "860426042",
            "telephone_number": "928-737-6000",
            "fax_number": "928-737-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLER",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Poe-Ami
• Lesa G Poola, RN
• Kevin C Powers, RN
• Prescott Vamc
• Thaylia N/a Quanimptewa
• Gary Alan Reeves, R.PH.
• Emily Elizabeth Virginia Robbie, FNP-C
• Michael Everett Robinson, RN
• Thomas Romard, RN
• Ruth Rosen, M.D.

• All providers in Polacca, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.