Active NPI
Erica Lauren Quinones, DMD
- General Practice Dentistry
- Meriden, CT
National Provider Identifier
1669006755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13012
- Practice address
- 1064 E Main St
Meriden, CT 06450-4898 - Phone
- (203) 634-8727
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| General Practice Dentistry | 1223G0001X | 13012 | CT | Primary |
Addresses
Primary practice location
1064 E Main St
Meriden, CT 06450-4898
Mailing address
104 Sturbridge LN
Trumbull, CT 06611-1047
Phone (203) 612-0170
Other practice location 1
701 N Broadway
Sleepy Hollow, NY 10591-1096
Phone (914) 366-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13012 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1669006755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 STURBRIDGE LN",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111047",
"telephone_number": "203-612-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1064 E MAIN ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064504898",
"telephone_number": "203-634-8727"
}
],
"practiceLocations": [
{
"address_1": "701 N Broadway",
"address_purpose": "LOCATION",
"city": "Sleepy Hollow",
"state": "NY",
"postal_code": "105911096",
"country_code": "US",
"telephone_number": "914-366-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINONES",
"first_name": "ERICA",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "13012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.