Jonathan E Quillian, DDS, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12051 Issued in TX

Practice address

7915 Culebra Rd
San Antonio, TX 78251-1443

Phone

(210) 680-1550

Fax

(210) 680-0004

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jonathan E Quillian Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Culebra North Dental Care

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1740336817
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639225782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511443",
            "telephone_number": "210-680-1550",
            "fax_number": "210-680-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511443",
            "telephone_number": "210-680-1550",
            "fax_number": "210-680-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIAN",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "QUILLIAN",
            "middle_name": "E",
            "credential": "DDS, FAGD,PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alfredo Quijano Jr.
• Michael James Quijano
• Kayla Renee Quilantan
• Jose Francisco Quiles Diaz, M.D.
• John Quiles, M.D.
• Amy Lynn Quillin, M.A., NCC
• Barbara Jean Quillin, PA-C
• Kalea K.D. Quillin
• Travis Wayne Quillin, DO
• Brooke A Quilter, CPNP

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.