Individual provider Active NPI

Barry Don Quick, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Conway, AR
National Provider Identifier
1942536677
Registry record updated Oct 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3027 Issued in AR
Practice address
2425 Prince St
Suite 6
Conway, AR 72034-3746
Phone
(501) 329-0400
Fax
(501) 758-7677
NPI assigned
Oct 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2009

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 3027 AR Primary

Addresses

Primary practice location

2425 Prince St
Suite 6
Conway, AR 72034-3746

Mailing address

2425 Prince St
Suite 6
Conway, AR 72034-3746
Phone (501) 329-0400

Other identifiers 1

IdentifierTypeStateIssuer
5X247OtherARARKANSAS BLUE CROSS AND BLUE SHIELD

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
3027ARMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256947200000",
    "number": "1942536677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PRINCE ST",
            "address_2": "SUITE 6",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343746",
            "telephone_number": "501-329-0400",
            "fax_number": "501-758-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PRINCE ST",
            "address_2": "SUITE 6",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343746",
            "telephone_number": "501-329-0400",
            "fax_number": "501-758-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "BARRY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-31",
        "last_updated": "2009-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS AND BLUE SHIELD",
            "identifier": "5X247",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; 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.