Irwin Dental Management PC

Primary specialty

DentistTaxonomy code 122300000X

License

033698 Issued in NY

Legal business name

IRWIN DENTAL MANAGEMENT PC

Practice address

3130 Irwin Ave
New York, NY 10463

Phone

(718) 884-0400

Fax

(718) 884-1446

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Adam K Smith, DDS

Title

President Owner

Phone

(718) 884-0400

Specialties & licenses 1

Addresses

Other names 1

• Professional Corporation Other name

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1275742611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 IRWIN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-884-0400",
            "fax_number": "718-884-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 IRWIN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-884-0400",
            "fax_number": "718-884-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN DENTAL MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "718-884-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "033698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Imani Irving
• Nakia Irving
• Rosemary Irving, LCSW
• Tiana Irving, R.N
• Irwin Benjamin Corp
• Irwin Rappaport MD PC
• Chelsea Irwin
• Elizabeth Catherine Irwin, LMSW
• Julie Irwin, LCSW
• Lauren Marie Irwin, PA-C

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.