Individual provider Active NPI

Kevin W Quinn, DMD

  • Periodontics
  • N Dartmouth, MA
National Provider Identifier
1689688574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
20490 Issued in MA
Practice address
74 Faunce Corner Rd
Suite 620
N Dartmouth, MA 02747
Phone
(508) 997-2999
Fax
(508) 997-5099
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 20490 MA Primary
Periodontics 1223P0300X DEN02740 RI

Addresses

Primary practice location

74 Faunce Corner Rd
Suite 620
N Dartmouth, MA 02747

Mailing address

74 Faunce Corner Rd
Suite 620
N Dartmouth, MA 02747
Phone (508) 997-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150915001502 MA Order and Referring Only - DentistPractitioner - Dentist 2961719570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20490MAMDPeriodontist
DEN02740RIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin W. Quinn, DMD, P.C. Periodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689688574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 FAUNCE CORNER RD",
            "address_2": "SUITE 620",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-997-2999",
            "fax_number": "508-997-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 FAUNCE CORNER RD",
            "address_2": "SUITE 620",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-997-2999",
            "fax_number": "508-997-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KEVIN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "20490",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "RI",
            "license": "DEN02740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.