DR. DAVID ALLAN QUACKENBUSH DO NPI 1598189060

NPI Information

  • NPI: 1598189060
  • Provider Name: DR. DAVID ALLAN QUACKENBUSH, DO
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2050A 2ND ST SE
    KIRTLAND AFB, NM
    ZIP 87117
  • Phone: (505) 846-3200

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NPI Details

DR. David Allan Quackenbush, DO is an adolescent medicine pediatrics in Kirtland Afb, NM. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. David Allan Quackenbush, DO NPI is 1598189060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2050A 2ND ST SE
KIRTLAND AFB, NM
ZIP 87117-502
Phone: (505) 846-3200

The NPI 1598189060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2014 and was last updated on 8/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics0102204210VIRGINIANo
22080A0000XPediatricsAdolescent Medicine0102204210VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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