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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 16 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 6 years ago.

1407850761 NPI Information

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

Primary Taxonomy Code Clasification License Number License State
Y 122300000X Dentist 19016003 IL

KURTIS E WIRTH (NPI 1407850761) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 1223S0112X Dentist, Oral and Maxillofacial Surgery 19016003 IL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
0017598 MEDICAID (05) WI
13244 MEDICARE UPIN (02) IL
19016003 MEDICAID (05) IL

KURTIS E WIRTH (NPI 1407850761) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1700935541 COOSA COUNTY HEALTH DEPT-ROCKFORD MAT Public Health or Welfare PO BOX 219,
ROCKFORD, AL, United States
10-Jan-2007
1043784580 SAMANTHA WOOD Student in an Organized Health Care Education/Training Program PO BOX 275,
ROCKFORD, AL, United States
17-Jan-2019
1578193389 ASHLEY NICOLE THRASH Nurse Practitioner, Family 9518 US HIGHWAY 231,
ROCKFORD, AL, United States
21-Jan-2020
1265575682 COOSA COUNTY HEALTH DEPT-ROCKFORD ADULT IMMUN Public Health or Welfare PO BOX 219,
ROCKFORD, AL, United States
15-Feb-2007
1891838215 COOSA COUNTY HEALTH DEPT-ROCKFORD CHILD Case Management PO BOX 219,
ROCKFORD, AL, United States
15-Feb-2007
1225171424 COOSA COUNTY HEALTH DEPT-ROCKFORD FP CLINIC Public Health or Welfare PO BOX 219,
ROCKFORD, AL, United States
15-Feb-2007
1497898605 COOSA COUNTY HEALTH DEPT-ROCKFORD AIDS Case Management PO BOX 219,
ROCKFORD, AL, United States
15-Feb-2007
1326181546 COOSA COUNTY HEALTH DEPT-ROCKFORD EPSDT Public Health or Welfare PO BOX 219,
ROCKFORD, AL, United States
15-Feb-2007
1598808677 COOSA COUNTY HEALTH DEPT OFFSITE EPSDT Public Health or Welfare MAIN STREET,
ROCKFORD, AL, United States
15-Feb-2007
1871636977 COOSA COUNTY HEALTH DEPT-ROCKFORD FP CM Case Management PO BOX 219,
ROCKFORD, AL, United States
15-Feb-2007
1528102381 COOSA COUNTY HEALTH DEPT-ROCKFORD PREV HEALTH ED Public Health or Welfare PO BOX 219,
ROCKFORD, AL, United States
16-Feb-2007
1649314352 COOSA COUNTY HEALTH DEPT-ROCKFORD MAT CM Case Management PO BOX 219,
ROCKFORD, AL, United States
16-Feb-2007
1417090655 COOSA COUNTY HEALTH DEPT-ROCKFORD PRI CARE Public Health or Welfare PO BOX 219,
ROCKFORD, AL, United States
15-Feb-2007
1700920774 COOSA COUNTY HEALTH DEPT-ROCKFORD PAT 1ST CM Case Management PO BOX 219,
ROCKFORD, AL, United States
16-Feb-2007
1851435861 COOSA COUNTY HEALTH DEPT-ROCKFORD VFC IMMUN Public Health or Welfare PO BOX 219,
ROCKFORD, AL, United States
16-Feb-2007
1902940703 COOSA COUNTY HEALTH DEPT-ROCKFORD EPSDT CM Case Management PO BOX 219,
ROCKFORD, AL, United States
16-Feb-2007
1730214834 STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH Public Health or Welfare 201 MONROE ST STE 1000,
MONTGOMERY, AL, United States
22-Feb-2007
1659540078 STATE OF ALABAMA Public Health or Welfare 50 N RIPLEY ST, FAMILY SERVICES DIVISION
MONTGOMERY, AL, United States
29-Feb-2008
1376664631 COOSA COUNTY Local Education Agency (LEA) PO BOX 37,
ROCKFORD, AL, United States
03-Apr-2007
1780177030 EMILY GLASS MIMS Nurse Practitioner 9518 US HIGHWAY 231,
ROCKFORD, AL, United States
12-Jun-2018

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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