Individual provider Active NPI

Melissa Quiggins, DDS

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1609155613
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413360 Issued in VA
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

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000935 VA Order and Referring Only - DentistPractitioner - DentistPractitioner - Oral Surgery 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

Verify at the official NPI Registry.