Individual provider Active NPI

Marten W Quadland, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston-Salem, NC
National Provider Identifier
1932297272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3596 Issued in NC
Practice address
1601 South Hawthorne Road
Winston-Salem, NC 27103-4127
Phone
(336) 765-9550
Fax
(336) 765-9552
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3596 NC Primary

Addresses

Primary practice location

1601 South Hawthorne Road
Winston-Salem, NC 27103-4127

Mailing address

1601 South Hawthorne Road
Winston-Salem, NC 27103-4127
Phone (336) 765-9550

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3596NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
A. Todd Smith, DDS PA Past Accepting new patients
Smith & Russell DDS PLLC Oral and Maxillofacial Surgery PastSince Jun 4, 2023 Accepting new patients

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932297272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SOUTH HAWTHORNE ROAD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034127",
            "telephone_number": "336-765-9550",
            "fax_number": "336-765-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SOUTH HAWTHORNE ROAD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034127",
            "telephone_number": "336-765-9550",
            "fax_number": "336-765-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADLAND",
        "first_name": "MARTEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "3596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.