Dentaquest USA Insurance Company, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAQUEST USA INSURANCE COMPANY, INC.

Practice address

919 Congress Ave
Austin, TX 78701-2102

Phone

(617) 886-1818

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTAQUEST, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Steven J. Pollock

Title

President

Phone

(617) 886-1568

Specialties & licenses 1

Addresses

Part of

Dentaquest LLC

Locations

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1831431709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 CORPORATE PKWY",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923332",
            "telephone_number": "617-886-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONGRESS AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012102",
            "telephone_number": "617-886-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAQUEST USA INSURANCE COMPANY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAQUEST, LLC",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-886-1568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.