Active NPI
Iq Family and Cosmetic Dentistry PLLC
- Dentist
- Rochester, NY
National Provider Identifier
1992136204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054433
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.