Individual provider Active NPI

Carmen Allie Quirk, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cookeville, TN
National Provider Identifier
1902329097
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9995 Issued in KY
Practice address
755 E Veterans Dr
Cookeville, TN 38501-5194
Phone
(931) 526-1146
NPI assigned
Jul 20, 2017
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 9995 KY Primary

Addresses

Primary practice location

755 E Veterans Dr
Cookeville, TN 38501-5194

Mailing address

755 E Veterans Dr
Cookeville, TN 38501-5194
Phone (931) 526-1146

Other practice location 1

501 S Preston St
Louisville, KY 40202-1701
Phone (502) 852-5124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1902329097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E VETERANS DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015194",
            "telephone_number": "931-526-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E VETERANS DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015194",
            "telephone_number": "931-526-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021701",
            "country_code": "US",
            "telephone_number": "502-852-5124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIRK",
        "first_name": "CARMEN",
        "middle_name": "ALLIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "9995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.