Organization Active NPI

Joseph L. McQuirter, D.D.S., Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Culver City, CA
National Provider Identifier
1851649123
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
JOSEPH L. MCQUIRTER, D.D.S., INC
Practice address
5903 Sepulveda Blvd
# B
Culver City, CA 90230-6409
Phone
(310) 701-1963
Fax
(310) 645-1665
NPI assigned
Aug 17, 2012
Last updated
Aug 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Dr. Joseph Lindon McQuirter Sr., DDSNPI 1619084985
Title
President
Phone
(310) 701-1963

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

5903 Sepulveda Blvd
# B
Culver City, CA 90230-6409

Mailing address

6709 La Tijera Blvd
# 157
Los Angeles, CA 90045-2017
Phone (310) 701-1963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170823003012 CA Part B Supplier - Clinic/Group Practice 3678845898 Receives reassigned benefits from 2 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

5903 Sepulveda Blvd
Ste B
Culver City, CA 90230
Phone (818) 297-4664

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1851649123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 LA TIJERA BLVD",
            "address_2": "# 157",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452017",
            "telephone_number": "310-701-1963",
            "fax_number": "310-645-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 SEPULVEDA BLVD",
            "address_2": "# B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306409",
            "telephone_number": "310-701-1963",
            "fax_number": "310-645-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L. MCQUIRTER, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "MCQUIRTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LINDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-701-1963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.