NPIMap

Organization Active NPI

Quirt Family Dentistry, SC

Doing business as Oak Creek Family Dental

  • General Practice Dentistry
  • Oak Creek, WI
National Provider Identifier
1417384249
Registry record updated Oct 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
QUIRT FAMILY DENTISTRY, SC
Doing business as
Oak Creek Family Dental
Practice address
8907 S Howell Ave
Oak Creek, WI 53154-4460
Phone
(414) 455-7768
NPI assigned
Oct 12, 2013
Last updated
Oct 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
QUIRT FAMILY DENTISTRY, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2013

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

Authorized official

Name
Kim Wilson
Title
Cred. Supervisor
Phone
(217) 540-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8907 S Howell Ave
Oak Creek, WI 53154-4460

Mailing address

8907 S Howell Ave
Oak Creek, WI 53154-4460
Phone (414) 455-7768

Other names 1

  • Oak Creek Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Dental of South Sheboygan32 organizations share this tax ID, including this one
Part of
Family Dental of South Sheboygan

Other organizations with this tax ID 31

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

View all 31

Locations

8907 S Howell Ave
Oak Creek, WI 53154
Phone (414) 304-5425

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1381536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381536000000",
    "number": "1417384249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544460",
            "telephone_number": "414-455-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544460",
            "telephone_number": "414-455-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIRT FAMILY DENTISTRY, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUIRT FAMILY DENTISTRY, SC",
        "enumeration_date": "2013-10-12",
        "last_updated": "2013-10-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CRED. SUPERVISOR",
        "authorized_official_telephone_number": "217-540-5170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2013; 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.