Individual provider Active NPI

Marcia Latonya McQuarters, DDS

  • Dentist
  • Meridian, MS
National Provider Identifier
1740377399
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
327303 Issued in MS
Practice address
5101 29TH Ave
Meridian, MS 39305-2664
Phone
(601) 482-2711
Fax
(601) 482-2711
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 327303 MS Primary

Addresses

Primary practice location

5101 29TH Ave
Meridian, MS 39305-2664

Mailing address

5101 29TH Ave
Meridian, MS 39305-2664
Phone (601) 482-2711

Other identifiers 2

IdentifierTypeStateIssuer
05734543MedicaidMS
09185341MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160504000352 MS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971802596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
327303MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
All About Smiles Dental Center P.a. Dentist 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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1740377399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 29TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052664",
            "telephone_number": "601-482-2711",
            "fax_number": "601-482-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 29TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052664",
            "telephone_number": "601-482-2711",
            "fax_number": "601-482-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUARTERS",
        "first_name": "MARCIA",
        "middle_name": "LATONYA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "327303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05734543",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09185341",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.