Active NPI
Daniel Jude Irving, M.D.
- Emergency Medicine Physician
- Arlington Heights, IL
National Provider Identifier
1336314459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036125101
- Practice address
- 800 W Central Rd
Arlington Heights, IL 60005-2349 - Phone
- (847) 618-3040
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01079613A | IN | |
| Emergency Medicine Physician | 207P00000X | 252900 | NY | |
| Emergency Medicine Physician | 207P00000X | 036125101 | IL | Primary |
Addresses
Primary practice location
800 W Central Rd
Arlington Heights, IL 60005-2349
Mailing address
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-3040
Other practice location 1
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521 ext. 15831
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252900 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestpractices of Northwest SC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Arlington Heights, IL
- NPI 1720113285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1336314459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052349",
"telephone_number": "847-618-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052349",
"telephone_number": "847-618-3040"
}
],
"practiceLocations": [
{
"address_1": "1 Kish Hospital Dr",
"address_purpose": "LOCATION",
"city": "Dekalb",
"state": "IL",
"postal_code": "601159602",
"country_code": "US",
"telephone_number": "815-756-1521 x15831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRVING",
"first_name": "DANIEL",
"middle_name": "JUDE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01079613A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "252900",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036125101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.