Organization Active NPI

Quinn Family Dental LLC

  • Dentist
  • Chicopee, MA
National Provider Identifier
1871615971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0017518 Issued in MA
Legal business name
QUINN FAMILY DENTAL LLC
Practice address
1146 Memorial Dr
Chicopee, MA 01020-3960
Phone
(413) 593-8904
Fax
(413) 593-5366
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maureen A Quinn, D.D.S
Title
Owner
Phone
(413) 593-8904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 0017518 MA Primary

Addresses

Primary practice location

1146 Memorial Dr
Chicopee, MA 01020-3960

Mailing address

47 Gary Dr
Westfield, MA 01085-4596
Phone (413) 572-4531

Other identifiers 3

IdentifierTypeStateIssuer
1285766899OtherMANPI
1053342642OtherMANPI
1295867992OtherMANPI

National Provider Directory

National Provider Directory

Locations

1146 Memorial Dr
Chicopee, MA 01020
Phone (413) 593-8904

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871615971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GARY DR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854596",
            "telephone_number": "413-572-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 MEMORIAL DR",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010203960",
            "telephone_number": "413-593-8904",
            "fax_number": "413-593-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-593-8904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "0017518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285766899",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053342642",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295867992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.