Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATHLEEN ELISSA WIRTH DMD
NPI 1700717048
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL

Active since May 26, 2026
824 NE 19TH AVE, FORT LAUDERDALE, FL 33304(304) 303-3020 Get Directions Write a Review

NPPES record added: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Elissa Wirth Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN ELISSA WIRTH DMD (NPI 1700717048) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1700717048
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHLEEN ELISSA WIRTHCredential: DMD
Location Address824 NE 19TH AVEFort Lauderdale, FL 33304-3081
Mailing Address824 Ne 19th AveFort Lauderdale, FL 33304-3081 · (304) 303-3020
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1700717048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
824 NE 19TH AVE, Fort Lauderdale, FL 33304

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
824 NE 19TH AVE
FORT LAUDERDALE, FL 33304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Wirth's NPI number?

The NPI number for Kathleen Wirth is 1700717048. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Kathleen Wirth located?

Kathleen Wirth practices at 824 NE 19th Ave, Fort Lauderdale, FL 33304. The listed phone number is (304) 303-3020.

What is Kathleen Wirth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kathleen Wirth was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.