Active NPI
Daniel Jospeh Iredale, DMD
- Dentist
- Fort Meade, MD
National Provider Identifier
1164305272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14225965-9926
- Practice address
- 8472 Simmond St
Fort Meade, MD 20755-5700 - Phone
- (301) 677-6078
- NPI assigned
- Jul 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14225965-9926 | UT | Primary |
Addresses
Primary practice location
8472 Simmond St
Fort Meade, MD 20755-5700
Mailing address
24 Lynne Cir
Paoli, PA 19301-1027
Phone (610) 864-0838
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 |
|---|---|---|---|
| 14225965-9926 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1164305272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 LYNNE CIR",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011027",
"telephone_number": "610-864-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8472 SIMMOND ST",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "207555700",
"telephone_number": "301-677-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IREDALE",
"first_name": "DANIEL",
"middle_name": "JOSPEH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "14225965-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.