KURTIS E WIRTH DDS, NPI 1407850761
Dentist in ROCKFORD, IL
Last Updated on : Jun 22,2016
About KURTIS E WIRTH (NPI 1407850761)
KURTIS E WIRTH is a Dentist provider in ROCKFORD, United States. His medical specialization is Dentist .
1407850761 is NPI number of KURTIS E WIRTH.
KURTIS E WIRTH's primary taxonomy code based on NPI Lookup is 122300000X with license number 19016003. This taxonomy code refers to Dentist.
KURTIS E WIRTH has more than 17 years of experience.
KURTIS E WIRTH current practice location address is 1107 S MULFORD RD, ROCKFORD, IL. KURTIS E WIRTH can be reached out via phone at 815-965-5233 and via fax at 815-965-9311 .
You can also correspond with KURTIS E WIRTH through mail at mailing address 1107 S MULFORD RD, ROCKFORD, IL, United States. Mailing address contact number is 815-965-5233.
The enumeration date of KURTIS E WIRTH is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 7 years ago.1407850761 NPI Information
Basic NPI information of KURTIS E WIRTH (NPI 1407850761) is provided below.
| Name | KURTIS E WIRTH |
|---|---|
| National Provider Id (NPI) | 1407850761 |
| Entity Type | Individual |
| Gender | M |
| Credential | DDS |
| Practice Address | 1107 S MULFORD RD,
ROCKFORD, IL, United States |
| Practice Telephone | 815-965-5233 |
| Practice Fax Number | 815-965-9311 |
| Mailing Address | 1107 S MULFORD RD ,
ROCKFORD, IL, United States |
| Mailing Telephone | 815-965-5233 |
| Mailing Fax Number | 815-965-9311 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 22-Jun-2016 |
KURTIS E WIRTH (NPI 1407850761) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 19016003 | IL |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
KURTIS E WIRTH (NPI 1407850761) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 19016003 | IL |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0017598 | MEDICAID (05) | WI | |
| 19016003 | MEDICAID (05) | IL |
KURTIS E WIRTH (NPI 1407850761) Office Location
Office location of KURTIS E WIRTH is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1528362589 | 1ST STEP CHIROPRACTIC SC | Chiropractor | 4519 HIGHCREST RD,
ROCKFORD, IL, United States |
06-Jan-2011 |
| 1508279324 | 2 SISTERS HOME HEALTHCARE INC. | Home Health | 2606 BROADWAY STE 3B,
ROCKFORD, IL, United States |
09-Jun-2014 |
| 1003537010 | 32DRS FAMILY DENTAL 2, LLC | Dentist, General Practice | 5876 E STATE ST,
ROCKFORD, IL, United States |
07-Sep-2022 |
| 1265156590 | A.M. ART THERAPY CO | Clinic/Center, Mental Health (Including Community Mental Health Center) | 176 N DU BOIS AVE,
ELGIN, IL, United States |
29-Sep-2022 |
| 1972733103 | SYED ABBAS | Family Medicine | 979 W MAIN ST,
WEST DUNDEE, IL, United States |
22-Jul-2009 |
| 1487941969 | WALEED ABBASI | Pediatrics | 2400 N ROCKTON AVE,
PEDIATRIC HOSPITALIST SVCS. ROCKFORD, IL, United States |
05-Jul-2011 |
| 1578706594 | TURKIA MAHMUD ABBED | Surgery, Plastic and Reconstructive Surgery | 5995 SPRING CREEK RD,
ROCKFORD, IL, United States |
07-Apr-2009 |
| 1871912717 | WALID F ABDALLAH | Ophthalmology | 2300 N ROCKTON AVE,
ROCKFORD, IL, United States |
08-Apr-2014 |
| 1952057523 | ABDUL AND BANDY LLC | Clinic/Center, Community Health | 4437 E STATE ST # 3,
ROCKFORD, IL, United States |
23-Feb-2022 |
| 1831347830 | JONATHAN NABONG ABIERA | Dentist | 780 N MULFORD RD,
ROCKFORD, IL, United States |
03-Sep-2008 |
| 1053421818 | ABIGAIL GUEVARA PHD PC | Psychologist, Clinical | 16 N MONCOE,
ROCKFORD, MI, United States |
30-Aug-2006 |
| 1457359895 | ABLE HOME HEALTH, LLC | Home Health | 1946 DAIMLER ROAD,
ROCKFORD, IL, United States |
11-Jul-2005 |
| 1174694129 | ABLE HOME SLEEP CENTERS, LLC | Clinic/Center, Sleep Disorder Diagnostic | 4249 E STATE ST,
SUITE # 207 ROCKFORD, IL, United States |
13-Nov-2006 |
| 1851534127 | SHIELA ABLINA | Physical Therapist | 4141 N ROCKTON AVE,
ROCKFORD, IL, United States |
15-Apr-2009 |
| 1902428832 | MUHANAD ABOU TOUK | Student in an Organized Health Care Education/Training Program | 4201 ST, ANTOINE, DETROIT MEDICAL CENTER, GME OFFICE,
UHC-9C DETROIT, MI, United States |
14-May-2020 |
| 1174016893 | ABOVE & BEYOND DENISTRY, LLC | Dentist | 364 FINANCIAL CT STE A,
ROCKFORD, IL, United States |
07-Jun-2018 |
| 1740793512 | JOHANNA ABRAHAMSON | Nurse's Aide | 1337 RED OAK LN,
ROCKFORD, IL, United States |
14-Nov-2017 |
| 1790247443 | JASON ABRAMS | Counselor | 201 W SPRINGFIELD AVE.,
SUITE 1002-1003 CHAMPAIGN, IL, United States |
02-Apr-2019 |
| 1487169546 | LISA ABRAMS | Counselor, Addiction (Substance Use Disorder) | 1021 N MULFORD RD,
ROCKFORD, IL, United States |
11-Dec-2017 |
| 1164891156 | AYESHA EIEN ABRAR | Pharmacist | 3929 N MULFORD RD,
ROCKFORD, IL, United States |
19-Sep-2015 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1407850761?1407850761 is the NPI number of KURTIS E WIRTH.
What is the specialty for KURTIS E WIRTH?The Specialty of KURTIS E WIRTH is Dentist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|