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DR. DAVID ALLAN QUACKENBUSH DO
NPI 1598189060
Pediatrics - Adolescent Medicine in Kirtland Afb, NM

Active since February 04, 2014PECOS Enrolled
2050A 2ND ST SE, KIRTLAND AFB, NM 87117(505) 846-3200 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 27, 2020, Jul 5, 2017 (2 updates tracked since 2017).

About Dr. David Allan Quackenbush Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID ALLAN QUACKENBUSH DO (NPI 1598189060) is an individual adolescent medicine provider in Kirtland Afb, New Mexico, licensed in Virginia (0102204210) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598189060
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. DAVID ALLAN QUACKENBUSHCredential: DO
Location Address2050A 2ND ST SEKirtland Afb, NM 87117-2502
Mailing AddressPo Box 56853Albuquerque, NM 87187-6853 · (682) 241-6707
Phone(505) 846-3200
Sole ProprietorNo
Enumeration DateFebruary 4, 2014
Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1598189060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in VA · 0102204210
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License 0102204210 (VA)
2050A 2ND ST SE, Kirtland Afb, NM 87117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Allan Quackenbush Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL CARVAJAL PSY.D.
Psychologist (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
FRANCISCO F. GALLARDO JR. DDS, MS
Dentist (Prosthodontics)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3027
PAIGE LOREEN ANDRE-HUDSON
Social Worker (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
DR. LAUREN DELANEY KLEIN DDS
Dentist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
THOMAS POWELL MD
Emergency Medicine
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
JAROM JARDINE DO
Pediatrics
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
DR. TAMERA BORCHARDT WHNP. DNP
Nurse Practitioner (Women's Health)
2050A 2ND ST SE
ALBUQUERQUE, NM 87117
Bernalillo County (505) 846-3200
DR. MARY ANN TERESE ORZECH M.D.
Preventive Medicine (Occupational Medicine)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-2520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Quackenbush's NPI number?

The NPI number for David Quackenbush is 1598189060. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Where is David Quackenbush located?

David Quackenbush practices at 2050A 2nd St SE, Kirtland Afb, NM 87117. The listed phone number is (505) 846-3200.

What is David Quackenbush's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is David Quackenbush enrolled in Medicare?

Yes. David Quackenbush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Quackenbush was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.