NPIMap

Organization Active NPI

Colleen Quesada DMD PLLC

  • Dentist
  • Farwell, MI
National Provider Identifier
1982861829
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18173 Issued in MI
Legal business name
COLLEEN QUESADA DMD PLLC
Practice address
301 W Main St
Farwell, MI 48622-8753
Phone
(989) 588-4121
Fax
(989) 588-3191
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Colleen S Quesada, D.M.DNPI 1912121336
Title
Owner
Phone
(989) 588-4121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18173 MI Primary

Addresses

Primary practice location

301 W Main St
Farwell, MI 48622-8753

Mailing address

301 W Main St
PO Box 309
Farwell, MI 48622-8753
Phone (989) 588-4121

Other identifiers 1

IdentifierTypeStateIssuer
D801268OtherMIBCBS OF MI PIN

Other names 1

  • Farwell Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1982861829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "address_2": "PO BOX 309",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486228753",
            "telephone_number": "989-588-4121",
            "fax_number": "989-588-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486228753",
            "telephone_number": "989-588-4121",
            "fax_number": "989-588-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN QUESADA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-588-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "18173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI PIN",
            "identifier": "D801268",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farwell Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farwell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.