Individual provider Active NPI

Erin Elizabeth Quivey, D.M.D.

  • General Practice Dentistry
  • Erie, PA
National Provider Identifier
1629115522
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036864 Issued in PA
Practice address
3822 Schaper Ave
Erie, PA 16508-3344
Phone
(814) 868-5449
Fax
(814) 866-1160
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS036864 PA Primary

Addresses

Primary practice location

3822 Schaper Ave
Erie, PA 16508-3344

Mailing address

3822 Schaper Ave
Erie, PA 16508-3344
Phone (814) 868-5449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160129001074 PA Order and Referring Only - DentistPractitioner - Dentist 4789987421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036864PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629115522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 SCHAPER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083344",
            "telephone_number": "814-868-5449",
            "fax_number": "814-866-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 SCHAPER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083344",
            "telephone_number": "814-868-5449",
            "fax_number": "814-866-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIVEY",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.