Heather Ireland X

Primary specialty

DentistTaxonomy code 122300000X

Practice address

1251 W Kem Rd
Suite G
Marion, IN 46952-2561

Phone

(765) 664-5164

NPI assigned

Jun 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ireland Dental

  • Dentist
  • Marion, IN
  • NPI 1396955944
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275577801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 W KEM RD",
            "address_2": "SUITE G",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522561",
            "telephone_number": "765-664-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W KEM RD",
            "address_2": "SUITE G",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522561",
            "telephone_number": "765-664-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "HEATHER",
        "name_suffix": "X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Wesleyan University (Wildcat Clinic)
• Amiee Ingram, BS, MATS
• Joyce Inskeep, LCSW
• Maria Ipo-Miller, PT
• Ireland Dental
• Charles C. Isom, MA,CRC
• Madina Iusupova, MD
• Addison Jackey, RBT
• Chau N. Jackson, AGPCNP-BC
• Leslie Jackson, OTD, OTR/L

• Dentist in Marion, IN
• Providers in Marion, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.