NPIMap

Organization Active NPI

Quirt Family Dentistry SC

  • Dentist
  • Schofield, WI
National Provider Identifier
1205976776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5001188 Issued in WI
Legal business name
QUIRT FAMILY DENTISTRY SC
Practice address
3417 Schofield Avenue
Schofield, WI 54476
Phone
(715) 355-5570
Fax
(715) 241-8171
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert G Quirt, DDS MS
Title
Owner
Phone
(715) 355-5570

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5987015 WI
Dentist 122300000X 5502015 WI
Dentist 122300000X 5001188 WI Primary

Addresses

Primary practice location

3417 Schofield Avenue
Schofield, WI 54476

Mailing address

3417 Schofield Avenue
Schofield, WI 54476
Phone (715) 355-5570

National Provider Directory

National Provider Directory
Tax ID family
Quirt Family Dentistry SC32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Ownership & related parties

Subparts reporting this organization as parent 23

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 23

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205976776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 SCHOFIELD AVENUE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "54476",
            "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 AVENUE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "54476",
            "telephone_number": "715-355-5570",
            "fax_number": "715-241-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIRT FAMILY DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUIRT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-355-5570",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5987015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5502015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.