Active NPI
Melissa Quiggins, DDS
- General Practice Dentistry
- Manassas, VA
National Provider Identifier
1609155613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401413360
- Practice address
- 7740 Donegan Dr
Manassas, VA 20109-2868 - Phone
- (703) 659-1132
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401413360 | VA | Primary |
Addresses
Primary practice location
7740 Donegan Dr
Manassas, VA 20109-2868
Mailing address
5772 Janneys Mill Cir
Haymarket, VA 20169-6196
Phone (301) 455-0285
Other practice location 1
9701 New Church St
Suite 9
Damascus, MD 20872-2000
Phone (301) 253-2174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120221000935 | VA | Order and Referring Only - Dentist | 0345408480 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1609155613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5772 JANNEYS MILL CIR",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201696196",
"telephone_number": "301-455-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7740 DONEGAN DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092868",
"telephone_number": "703-659-1132"
}
],
"practiceLocations": [
{
"address_1": "9701 New Church St",
"address_2": "Suite 9",
"address_purpose": "LOCATION",
"city": "Damascus",
"state": "MD",
"postal_code": "208722000",
"country_code": "US",
"telephone_number": "301-253-2174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUIGGINS",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401413360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.