Diana L Quillin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102320 Issued in CA

Practice address

15922 Strathern St Ste 18
Van Nuys, CA 91406-1315

Phone

(866) 988-4504

Fax

(866) 988-4504

NPI assigned

Oct 11, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Midwest Dental Kansas Wichita Woodlawn PA

  • Dentist
  • Wichita, KS
  • NPI 1013252097
  NPD (past) Authorized official
• Special Anesthesia Services PA

  • Certified Registered Nurse Anesthetist
  • Derby, KS
  • NPI 1528035714
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1891783007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 WESTCLIFF DR",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913075210",
            "telephone_number": "316-371-9908",
            "fax_number": "316-371-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15922 STRATHERN ST STE 18",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061315",
            "telephone_number": "866-988-4504",
            "fax_number": "866-988-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIN",
        "first_name": "DIANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winrich L Quiboloy, PHARM.D.
• Quick Care Medical Center Inc
• Quietude Home Health Care
• Daniela Quila
• Camille Quilantip
• Angel Albert Quintanilla, ACSW
• Bianca Quintero
• Carlos Damian Quintero, LMFT
• Claudia Lorena Quintero
• Tiffany Quintero

• All providers in Van Nuys, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.