J P Irelan Endodontics LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

J P IRELAN ENDODONTICS LLC

Practice address

6754 Lindermann Ave
Mount Pleasant, WI 53406-5603

Phone

(262) 632-5455

Fax

(262) 632-2858

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jon Irelan, DDS

Title

Owner

Phone

(262) 632-5455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1306345814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W STATE ST APT 531",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532134604",
            "telephone_number": "503-715-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 LINDERMANN AVE",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065603",
            "telephone_number": "262-632-5455",
            "fax_number": "262-632-2858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6754 Lindermann Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534065603",
            "country_code": "US",
            "telephone_number": "262-632-5455",
            "fax_number": "262-632-2858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6754 Lindermann Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534065603",
            "country_code": "US",
            "telephone_number": "262-632-5455",
            "fax_number": "262-632-2858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J P IRELAN ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "IRELAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-632-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.