Quail Ridge Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006450 Issued in WA

Legal business name

QUAIL RIDGE DENTAL, INC

Practice address

8801 W Gage Blvd
Kennewick, WA 99336-7150

Phone

(509) 735-1918

Fax

(509) 735-2796

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Turrell J Beck, DDSNPI 1134425176

Title

President/Dentist

Phone

(509) 735-1918

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Turrell Joseph Beck, D.D.S.

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1134425176
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558466110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367150",
            "telephone_number": "509-735-1918",
            "fax_number": "509-735-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367150",
            "telephone_number": "509-735-1918",
            "fax_number": "509-735-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAIL RIDGE DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "TURRELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "509-735-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5032073",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Kennewick, WA
• Providers in Kennewick, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.