Kassey McQuinn, D.D.S.
Individual provider Active NPI General Practice Dentistry · Tipton, IN
NPI 1659523538 · NPPES record last updated Oct 22, 2008
Key facts
- NPI
- 1659523538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0887654 (IN)
- Practice address
- 650 Fairgrounds Rd
Tipton, IN 46072-8599 - Phone
- (765) 675-7595
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 25, 2016 through Jan 25, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0887654 | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McQuinn Family Dentistry PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0887654 | IN | Yes |
Addresses
Primary practice location
650 Fairgrounds Rd
Tipton, IN 46072-8599
Mailing address
3604 S State Road 19
Tipton, IN 46072-9098
Phone (765) 675-2375
Other providers in Tipton, IN
- Janette R Link
- Lori M Wisely M D
- Mary Katherine Mariotti
- Christopher McDaniel
- McQuinn Family Dentistry PC
- Kiley McQuinn
- Mark McQuinn
- Michael E Harper MD PC
- Staci Jo Middleton
- Midwest Eye Consultants, P.C.
All providers in Tipton, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.