Bob G Quirt

Primary specialty

DentistTaxonomy code 122300000X

License

5001188 Issued in WI

Practice address

3417 Schofield Ave
Schofield, WI 54476

Phone

(715) 355-5570

Fax

(715) 241-8171

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quirt Family Dentistry SC

  • Dentist
  • Schofield, WI
  • NPI 1205976776
  NPD (past)
• Quirt Family Dentistry, SC

  dba Quirt Family Dental - Schofield

  • General Practice Dentistry
  • Schofield, WI
  • NPI 1306112685
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063626687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 SCHOFIELD AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762572",
            "telephone_number": "715-355-5570",
            "fax_number": "715-241-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 SCHOFIELD AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "54476",
            "telephone_number": "715-355-5570",
            "fax_number": "715-241-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRT",
        "first_name": "BOB",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Puetz, AUD CCCA
• Quad/Med, LLC
• Quirt Family Dentistry SC
• Quirt Family Dentistry, SC (Quirt Family Dental - Schofield)
• Benjamin D Quirt
• Timothy J Quirt
• Erin Radtke
• Kevin E Ritzenthaler, DC
• Jennifer Ann Fehrman Roloff, DDS, MS
• Roundys Supermarkets Inc (Pick N Save Pharmacy #406)

• Dentist in Schofield, WI
• Providers in Schofield, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.