| NPI | 1407850761 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-06-01 |
| Last Updated | 2016-06-22 |
| Mailing Address | 1107 S Mulford Rd Rockford, IL 61108-4212 United States Phone: (815) 965-5233 | Fax: (815) 965-9311 📍 View Map |
| Primary Practice Address | 1107 S Mulford Rd Rockford, IL 61108-4212 United States Phone: (815) 965-5233 | Fax: (815) 965-9311 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WI | 0017598 | - |
| MEDICAID | IL | 19016003 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | IL | 19016003 |
| No | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | IL | 19016003 |
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About NPI 1407850761
Kurtis E Wirth DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1407850761. The primary specialty listed is Dentist. The provider is located in Rockford, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407850761?
NPI 1407850761 belongs to Kurtis E Wirth DDS, a Dentist in Rockford, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407850761 active?
The current status of NPI 1407850761 in the NPPES registry is Active. The record was last updated on 2016-06-22.
What specialty is NPI 1407850761?
NPI 1407850761 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1407850761?
You can verify NPI 1407850761 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1407850761?
The primary practice address on file for NPI 1407850761 is 1107 S Mulford Rd, Rockford, IL 61108-4212. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407850761 issued?
NPI 1407850761 was first issued (enumerated) on 2005-06-01. The NPPES record was last updated on 2016-06-22.
Practice Location Map
Kurtis E Wirth is located at 1107 S Mulford Rd, Rockford, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kurtis E Wirth. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1407850761. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | 19016003 | IL |
| Dentist, Oral and Maxillofacial Surgery | 19016003 | IL |