Individual provider Active NPI

Robert Quintano, DDS

  • Dentist
  • Belfast, ME
National Provider Identifier
1689788689
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6083 Issued in NC
Practice address
125 Northport Ave
Suite 107
Belfast, ME 04915-6002
Phone
(207) 338-9307
Fax
(207) 338-9331
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6083 NC Primary

Addresses

Primary practice location

125 Northport Ave
Suite 107
Belfast, ME 04915-6002

Mailing address

46 Ocean St
Belfast, ME 04915-6745
Phone (910) 393-8209

Other identifiers 1

IdentifierTypeStateIssuer
760649708OtherTAX ID

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
6083NCMDPsychologist

Interoperability endpoints

  • Direct secure messaging: robert.quintano.p1@direct.kp-hc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1689788689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 OCEAN ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156745",
            "telephone_number": "910-393-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NORTHPORT AVE",
            "address_2": "SUITE 107",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156002",
            "telephone_number": "207-338-9307",
            "fax_number": "207-338-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760649708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.