Elizabeth Rae Birr, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6400-15 Issued in WI

Practice address

1819 Park Ave
Plover, WI 54467-4304

Phone

(715) 544-6100

Fax

(715) 544-6104

NPI assigned

Jun 5, 2009

Last updated

Dec 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Elizabeth Rae Nguyen Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

  dba Quirt Family Dentistry - Plover

  • General Practice Dentistry
  • Plover, WI
  • NPI 1508131004
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1063648970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 PARK AVE",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674304",
            "telephone_number": "715-544-6100",
            "fax_number": "715-544-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 PARK AVE",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674304",
            "telephone_number": "715-544-6100",
            "fax_number": "715-544-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRR",
        "first_name": "ELIZABETH",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6400-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NGUYEN",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Baxter
• Joshua Behnke, D.D.S.
• Hannah M Bemke, RDH
• Anneliese Bessette, APNP
• Sachan Bhatia
• Bjosc, LLC (BJOSC at Plover)
• Bone & Joint Clinic S.C. (Bone & Joint Clinic S.C. @ Plover)
• BR Krygowski MD Inc
• Hannah E Bunting, MSW, LCSW
• Doreen Diane Butterfield, LPN

• General Practice Dentistry in Plover, WI
• Providers in Plover, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.