MR. KIRK R RITCHIE


Address: 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520
Phone: 7154784300

MR. KIRK R RITCHIE (NPI# 1902814882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902814882
Entity Type Individual
Full Name MR. KIRK R RITCHIE
Credential DDS
Practice Address 5409 Everybodys Road
Forest County Potawatomi Health & Wellness Center
Crandon
WI 54520
Mailing Address Po Box 396
5409 Everybodys Road Forest County Potawatomi Health &
Crandon
WI 54520
Practice Telephone 7154784300
Practice Fax Number 7154784490
Mailing Telephone 7154784300
Mailing Fax Number 7154784490
Enumeration Date 2006-08-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 4113015 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI SECURITY HEALTH PLAN 74434 01
WI 33704300 05

Office Location

Street Address 5409 EVERYBODYS ROAD
FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER
City CRANDON
State WI
Zip Code 54520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285642165 Christopher P Skaggs Speech-Language Pathologist 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1992959654 Lisa M Miller Dietitian, Registered 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2008-11-07
1861400731 Karen A Beimborn Family Medicine 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1023026903 Apolinar Ed A Jovellana Jr. General Practice 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1407864382 Frederick A Mathwig Physical Therapist 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1316955297 Gloria Jean Johnston Social Worker 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255574364 Anne Morris Warren Counselor 5409 Everybody's Rd, Crandon, WI 54520 2009-04-20
1568643922 Karen Mihalko Hearing Instrument Specialist 106 W Madison Street, Crandon, WI 54520 2007-11-14
1558379438 David R Kaufman Jr. Pharmacist 5409 Everybodys Rd, Forest County Potwatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1114935095 William R Pierre Optometrist 5409 Everbodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1720033186 Frank Mraz Family Medicine 5409 Everybody's Road, Crandon, WI 54520 2006-05-24
1770978173 Lana Winter Counselor 3144 Vanzile Rd, Crandon, WI 54520 2015-04-02
1902221989 Anna E Lopez Massage Therapist 8201 Mish Ko Swen Drive, Crandon, WI 54520 2014-02-27
1881602761 Betty S Thunder Social Worker 5409 Everybody's Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1578698916 Diane M Baird Counselor 3163 State Hwy 55, Crandon, WI 54520-0275 2007-02-23
1710282678 Diane K Walker Dietetic Technician, Registered 3144 Vanzile Road, Crandon, WI 54520-0275 2011-01-24
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891171807 Roya Rahnamayi Dentist 3144 Vanzile Rd, Crandon, WI 54520-8149 2015-08-03
1245551589 Eve Louise Van Harpen Dentist 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 2010-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306445242 Heather Jordan Dentist 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 2020-10-21
1548875305 Andre Oliveira-shahinfar Dentist 6038 Gemini Dr, Madison, WI 53718-3008 2020-09-09
1770194870 Gi Ppeum Lee Dentist 3111 E Calumet St, Appleton, WI 54915-4754 2020-08-12
1891304275 Bryce Opps Dentist 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 2020-07-30
1962010579 Catherine Eileen Zimmermann Dentist 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 2020-07-20
1073131348 Kelsey Chin Dentist 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 2020-07-13
1457978520 Brennan Michael Leavitt Dentist 2201 Division St # B, Stevens Point, WI 54481-3662 2020-07-06
1467079327 William Tyler Crusey Dentist 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 2020-06-26
1184240236 Casey Nan Messer Dentist 2805 Libal St Ste B, Green Bay, WI 54301-2888 2020-06-24
1881210185 Negah Karimpourtalebi Dentist 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 2020-06-23
Find all providers with the same taxonomy

Competitor

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City CRANDON
Zip Code 54520

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Dataset Information

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.

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