Individual provider Active NPI

Oscar Christopher Quintana, DDS

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1720079635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1513 Issued in NM
Practice address
8501 Candelaria Rd NE
Building C
Albuquerque, NM 87112-1034
Phone
(505) 292-8300
Fax
(505) 332-4335
NPI assigned
Oct 31, 2005
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1513 NM Primary

Addresses

Primary practice location

8501 Candelaria Rd NE
Building C
Albuquerque, NM 87112-1034

Mailing address

8501 Candelaria Rd NE
Building C
Albuquerque, NM 87112-1034
Phone (505) 292-8300

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
1513NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar C. Quintana DDS,PC 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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720079635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 CANDELARIA RD NE",
            "address_2": "BUILDING C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121034",
            "telephone_number": "505-292-8300",
            "fax_number": "505-332-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 CANDELARIA RD NE",
            "address_2": "BUILDING C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121034",
            "telephone_number": "505-292-8300",
            "fax_number": "505-332-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "OSCAR",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.