Individual provider Active NPI

Vanessa Quihuis, D.M.D.

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1992054233
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8554 Issued in AZ
Practice address
4950 E Elliot Rd
Phoenix, AZ 85044-4306
Phone
(480) 893-3072
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8554 AZ Primary

Addresses

Primary practice location

4950 E Elliot Rd
Phoenix, AZ 85044-4306

Mailing address

4950 E Elliot Rd
Phoenix, AZ 85044-4306
Phone (480) 893-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20150624002501 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971814435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8554AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Dental Arts PLLC General Practice PastSince Oct 3, 2014 Accepting new patients

Organizations & group practices 1

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1992054233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 E ELLIOT RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444306",
            "telephone_number": "480-893-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 E ELLIOT RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444306",
            "telephone_number": "480-893-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIHUIS",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.