Kurt W Piernot, DDS FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001673015 Issued in WI

Practice address

106 Watson St
Ripon, WI 54971

Phone

(920) 748-7731

Fax

(920) 748-8234

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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.

• MDC Ripon SC

  dba Ripon Family Dentistry

  • General Practice Dentistry
  • Ripon, WI
  • NPI 1376951673
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225114010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WATSON ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "54971",
            "telephone_number": "920-748-7731",
            "fax_number": "920-748-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WATSON ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "54971",
            "telephone_number": "920-748-7731",
            "fax_number": "920-748-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERNOT",
        "first_name": "KURT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001673015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33562600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey J Patterson, PHARMD, RPH
• Autumn Susan Pawlowski, DPT
• Madeline M Pereira, CRNA
• Zachariah Pickart, RPH
• Angela Pickhard, MOT
• Pleasant Park Place LLC
• Racheal Anne Pluim-Bergmann, LCSW
• Megan Pommerening
• Praitie Assisted Living Inc.
• Steven Taylor Rasmussen, MD

• General Practice Dentistry in Ripon, WI
• Providers in Ripon, 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 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.