Active NPI
Irene M George
- General Practice Dentistry
- Monterey, CA
National Provider Identifier
1104294826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 64809
- Practice address
- 1001 Pacific St Ste E
Monterey, CA 93940 - Phone
- (831) 747-1794
- Fax
- (831) 920-1471
- NPI assigned
- Sep 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 64809 | CA | Primary |
Addresses
Primary practice location
1001 Pacific St Ste E
Monterey, CA 93940
Mailing address
1001 Pacific St Ste E
Monterey, CA 93940-4455
Phone (831) 747-1794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64809 | Other | CA | DENTAL LICNSE |
Other names 1
- Dr. Irene George
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64809 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irene M. George, DDS, Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Monterey, CA
- NPI 1811404205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1104294826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PACIFIC ST STE E",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404455",
"telephone_number": "831-747-1794",
"fax_number": "831-920-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PACIFIC ST STE E",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-747-1794",
"fax_number": "831-920-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "IRENE",
"middle_name": "M",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICNSE",
"identifier": "64809",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IRENE",
"last_name": "GEORGE",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.