Individual provider Active NPI

Jacqueline Quinto, DC

  • Chiropractor
  • Durham, NC
National Provider Identifier
1801530027
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5482 Issued in NC
Practice address
202 W NC-54
Suite 103
Durham, NC 27713
Phone
(919) 408-7499
Fax
(919) 268-4120
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5482 NC Primary

Addresses

Primary practice location

202 W NC-54
Suite 103
Durham, NC 27713

Mailing address

202 W NC-54
Suite 103
Durham, NC 27713
Phone (919) 408-7499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220505002095 NC Practitioner - Chiropractic 4587041876
I20240925000188 MI Practitioner - Chiropractic 4587041876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Rivertown Family Chiropractic LLCGroup PAC ID 2163652652, 8 clinicians

Practice addresses (Care Compare)

4020 Del Mar Dr SW
Suite 100
Wyoming, MI 49418-8837
Phone (616) 214-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Family Chiropractic LLC Chiropractor CurrentSince Sep 3, 2024 Accepting new patients

Locations

4020 Del Mar Dr SW
Ste 100
Wyoming, MI 49418
Phone (616) 214-3111

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1801530027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W NC-54",
            "address_2": "SUITE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-408-7499",
            "fax_number": "919-268-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W NC-54",
            "address_2": "SUITE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-408-7499",
            "fax_number": "919-268-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTO",
        "first_name": "JACQUELINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-08-11",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.