NPIMap

Organization Active NPI

Quality Dental Care

  • Dentist
  • Vineland, NJ
National Provider Identifier
1609878602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI018645 Issued in NJ
Legal business name
QUALITY DENTAL CARE
Practice address
301 S Main Rd
Suite B-4
Vineland, NJ 08360-7897
Phone
(856) 691-0290
Fax
(856) 691-6425
NPI assigned
Aug 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A. Kissell, D.D.S.NPI 1386896777
Title
Owner
Phone
(856) 691-0290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI018645 NJ Primary

Addresses

Primary practice location

301 S Main Rd
Suite B-4
Vineland, NJ 08360-7897

Mailing address

301 S Main Rd
Suite B-4
Vineland, NJ 08360-7897
Phone (856) 691-0290

Other identifiers 1

IdentifierTypeStateIssuer
1223D0001XOtherNJDENTAL PUBLIC HEALTH

National Provider Directory

National Provider Directory

Locations

301 S Main Rd
Ste B4
Vineland, NJ 08360
Phone (856) 691-0290

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609878602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MAIN RD",
            "address_2": "SUITE B-4",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607897",
            "telephone_number": "856-691-0290",
            "fax_number": "856-691-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN RD",
            "address_2": "SUITE B-4",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607897",
            "telephone_number": "856-691-0290",
            "fax_number": "856-691-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISSELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-691-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI018645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL PUBLIC HEALTH",
            "identifier": "1223D0001X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • 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.