Julissa Lisett Quinonez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13876 Issued in NC

Practice address

202 Ballentrae CT
Pittsboro, NC 27312-5538

Phone

(984) 400-9564

NPI assigned

Jul 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1689411951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 BROOKHILL WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198672",
            "telephone_number": "815-901-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BALLENTRAE CT",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125538",
            "telephone_number": "984-400-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONEZ",
        "first_name": "JULISSA",
        "middle_name": "LISETT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Program Resource Institute
• Program Resource Institute
• Quality Life Home Care, Inc.
• Quality Life Home Care, Inc.
• Quality Life Home Care, Inc.
• David Holbein Rademacher, MA
• Edward Charles Raymond, DC
• Kayla Reber
• Reme, LLC
• Renaissance Wellness Services, LLC

• General Practice Dentistry in Pittsboro, NC
• Providers in Pittsboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.