QUIRT FAMILY DENTISTRY, SC (NPI# 1922442300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922442300 |
| Entity Type | Organization |
| Organization Name | QUIRT FAMILY DENTISTRY, SC |
| Other Organization Name | SMILES ON CALUMET |
| Practice Address |
3813 E Calumet St Appleton WI 54915-4158 |
| Practice Telephone | 9209314505 |
| Mailing Telephone | 9209314505 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | KIM WILSON (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2175405170 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUIRT FAMILY DENTISTRY, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Smiles on Calumet | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1700251725 | Quirt Family Dentistry, Sc | Dentist | 5401 Caddis Bnd, Unit B, Fitchburg, WI 53711-7122 | 2015-12-02 |
| 1225447436 | Quirt Family Dentistry, Sc | Dentist | 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 | 2014-08-13 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1891117495 | Quirt Family Dentistry, Sc | Dentist | 10288 77th St, Suite 300, Pleasant Prairie, WI 53158-1142 | 2014-01-16 |
| 1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
| 1417384249 | Quirt Family Dentistry, Sc | Dentist | 8907 S Howell Ave, Oak Creek, WI 53154-4460 | 2013-10-12 |
| 1871869222 | Quirt Family Dentistry, Sc | Dentist | 2812 E Main St, Merrill, WI 54452-3470 | 2012-03-30 |
| 1881969384 | Quirt Family Dentistry, Sc | Dentist | 107 S 3rd Ave, Edgar, WI 54426-9282 | 2012-03-16 |
| Street Address |
3813 E CALUMET ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1083056600 | Mdc Appleton S | Dentist | 1707 S Oneida St, Appleton, WI 54915-1302 | 2013-07-24 |
| 1972760387 | Katherine A Leyes | Dentist | 3300 W College Ave, Appleton, WI 54914-3920 | 2008-05-22 |
| 1780851188 | Allcare Dental & Dentures of Wi PC | Dentist | 4182 W Wisconsin Ave, Appleton, WI 54913-8652 | 2008-05-14 |
| 1467642850 | Michael W. Hayes | Dentist | 1500 N Casaloma Dr, # 206, Appleton, WI 54913-8216 | 2007-07-31 |
| 1316162548 | Jeffrey Jon Paffenroth | Dentist | 828 N Westhill Blvd, Appleton, WI 54914-5788 | 2007-04-14 |
| 1992826507 | Kevin L. Skjei | Dentist | 32 S Behl St, Appleton, MN 56208-1616 | 2007-04-02 |
| 1295854768 | Bruce L. Walters | Dentist | 5740 W Grande Market Dr, Appleton, WI 54913-8406 | 2007-03-28 |
| 1598889222 | Grand View Family and Cosmetic Dentistry | Dentist | 381 S Kools St, Appleton, WI 54914-3932 | 2007-03-19 |
| 1447380811 | Fox Valley Dental Assoc. Ltd. | Dentist | 2315 W Main St, Appleton, WI 54911-4178 | 2007-03-06 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.