Thomas Paul Irwin Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7441 Issued in IA

Practice address

3024 Victoria St
Bettendorf, IA 52722-2793

Phone

(563) 332-2447

Fax

(563) 332-9787

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• QC Dental Docs, P.C.

  • General Practice Dentistry
  • Bettendorf, IA
  • NPI 1033344130
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124032875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 VICTORIA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222793",
            "telephone_number": "563-332-2447",
            "fax_number": "563-332-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 VICTORIA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222793",
            "telephone_number": "563-332-2447",
            "fax_number": "563-332-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41426",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066167",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "671437",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iowa Foot & Ankle Specialists, PLLC
• Iowa Masonic Health Facilities
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Angela Irwin, DC
• Lauren Ashley Isaacson, LMHC
• Elizabeth Isbell, P.T.
• Jonathan Ryan Isgrig, OD
• J H Shields MD PC
• Debbie Lynn James, LMHC, NCC

• General Practice Dentistry in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.