Quirt Family Dentistry
Organization Active NPI General Practice Dentistry · Janesville, WI
NPI 1679998314 · NPPES record last updated Mar 4, 2014
Key facts
- NPI
- 1679998314
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- QUIRT FAMILY DENTISTRY
- Practice address
- 2201 Humes Road Suite 150
Janesville, WI 53545 - Phone
- (608) 302-6408
- NPI assigned
- Mar 4, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- QUIRT FAMILY DENTISTRY
Authorized official
- Name
- Lindsay Bearden
- Title
- Insurance/Credentialing
- Phone
- (217) 540-5699
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 31
National Provider Directory
- Tax ID family
- Quirt Family Dentistry SC
- Part of
- Quirt Family Dentistry SC
Locations
2201 Humes Rd
Ste 150
Janesville, WI 53545
Phone (608) 302-6408
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
2201 Humes Road Suite 150
Janesville, WI 53545
Mailing address
2201 Humes Road Suite 150
Janesville, WI 53545
Phone (608) 302-6408
Other names
- Janesville Family Dental Care
NPI Registry JSON
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393891200000",
"number": "1679998314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 HUMES ROAD SUITE 150",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "53545",
"telephone_number": "608-302-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 HUMES ROAD SUITE 150",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "53545",
"telephone_number": "608-302-6408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUIRT FAMILY DENTISTRY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUIRT FAMILY DENTISTRY",
"enumeration_date": "2014-03-04",
"last_updated": "2014-03-04",
"status": "A",
"authorized_official_last_name": "BEARDEN",
"authorized_official_first_name": "LINDSAY",
"authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
"authorized_official_telephone_number": "217-540-5699"
},
"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": "Janesville Family Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Janesville, WI
- Jill Annette Purnell
- Nathan Putnam
- Quad/Med, LLC
- Cassandra Nicole Quick
- Karina Laura Paulius Quinn
- R&G Vision, LLC
- Amanda L Rabe Carter
- Mohammed Abbas Rahemtulla
- David L Rainiero
- Michael L Rainiero
All providers in Janesville, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.