Individual provider Active NPI

Adam Joseph Quartano, D.D.S.

  • Dentist
  • Metairie, LA
National Provider Identifier
1851730154
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6391 Issued in LA
Practice address
2636 Athania Pkwy
Metairie, LA 70002-5902
Phone
(504) 455-5410
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6391 LA Primary

Addresses

Primary practice location

2636 Athania Pkwy
Metairie, LA 70002-5902

Mailing address

2636 Athania Pkwy
Metairie, LA 70002-5902
Phone (504) 455-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170603000241 LA Order and Referring Only - DentistPractitioner - Dentist 6204103724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6391LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CFDC, LLC Current Accepting new patients
Concord Family Dental Dentist Current Accepting new patients
CFDM LLC CurrentSince Dec 17, 2023 Accepting new patients

Locations

2636 Athania Pkwy
Metairie, LA 70002
Phone (504) 218-8444

Organizations & group practices 3

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1851730154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 ATHANIA PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025902",
            "telephone_number": "504-455-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 ATHANIA PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025902",
            "telephone_number": "504-455-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTANO",
        "first_name": "ADAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.