Individual provider Active NPI

Brett Quinto, DMD

  • Dentist
  • Bloomingdale, IL
National Provider Identifier
1669033445
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.032077 Issued in IL
Practice address
76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone
(630) 893-5182
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.032077 IL Primary

Addresses

Primary practice location

76 Stratford Dr
Bloomingdale, IL 60108-2201

Mailing address

76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-5182

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.eaglefalls.com/

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

LicenseStateTypeSpecialty
019.032077ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1669033445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STRATFORD DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082201",
            "telephone_number": "630-893-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STRATFORD DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082201",
            "telephone_number": "630-893-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTO",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.eaglefalls.com/",
            "affiliation": "N",
            "address_1": "76 Stratford Dr",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601082201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.