Organization Active NPI

Iq Family and Cosmetic Dentistry PLLC

  • Dentist
  • Rochester, NY
National Provider Identifier
1992136204
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054433 Issued in NY
Legal business name
IQ FAMILY AND COSMETIC DENTISTRY PLLC
Practice address
300 White Spruce Blvd
Rochester, NY 14623-1606
Phone
(585) 475-0140
Fax
(585) 475-9934
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Mrs. Indra Quagliata, DDS
Title
Owner
Phone
(585) 475-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 054433 NY Primary

Addresses

Primary practice location

300 White Spruce Blvd
Rochester, NY 14623-1606

Mailing address

300 White Spruce Blvd
Rochester, NY 14623-1606
Phone (585) 475-0140

Other names 1

  • Indra Quagliata Doing business as

National Provider Directory

National Provider Directory

Locations

300 White Spruce Blvd
Rochester, NY 14623
Phone (585) 424-6770

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1992136204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231606",
            "telephone_number": "585-475-0140",
            "fax_number": "585-475-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231606",
            "telephone_number": "585-475-0140",
            "fax_number": "585-475-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQ FAMILY AND COSMETIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "QUAGLIATA",
        "authorized_official_first_name": "INDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-475-0140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indra Quagliata",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.