Active NPI
Donald a Quinn Jr. DDS
- Dental Clinic/Center
- Minneapolis, MN
National Provider Identifier
1811136575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 8042
- Legal business name
- DONALD A QUINN JR. DDS
- Practice address
- 207 Lowry Ave NE
Minneapolis, MN 55418-3420 - Phone
- (612) 787-0545
- Fax
- (612) 787-0544
- NPI assigned
- Feb 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Arthur Quinn Jr., DDS
- Title
- Owner
- Phone
- (612) 787-0545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 8042 | MN | Primary |
Addresses
Primary practice location
207 Lowry Ave NE
Minneapolis, MN 55418-3420
Mailing address
207 Lowry Ave NE
Minneapolis, MN 55418-3420
Phone (612) 787-0545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084218400 | Medicaid | MN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Minneapolis, MN
- NPI 1578640272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1811136575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 LOWRY AVE NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554183420",
"telephone_number": "612-787-0545",
"fax_number": "612-787-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 LOWRY AVE NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554183420",
"telephone_number": "612-787-0545",
"fax_number": "612-787-0544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD A QUINN JR. DDS",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-19",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "QUINN",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-787-0545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MN",
"license": "8042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084218400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.