Active NPI
Philip C. Irving,DDS,PC
- General Practice Dentistry
- Springfield, MA
National Provider Identifier
1356461891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12970
- Legal business name
- PHILIP C. IRVING,DDS,PC
- Practice address
- 1383 Main St
Suite 301
Springfield, MA 01103-1653 - Phone
- (413) 737-3700
- Fax
- (413) 736-6515
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Craig Irving, DDS
- Title
- Owner
- Phone
- (413) 737-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12970 | MA | Primary |
Addresses
Primary practice location
1383 Main St
Suite 301
Springfield, MA 01103-1653
Mailing address
1383 Main St
Suite 301
Springfield, MA 01103-1653
Phone (413) 737-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9713841 | Medicaid | MA | |
| 0248509 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
1383 Main St
Ste 301
Springfield, MA 01103
Phone (413) 737-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356461891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 MAIN ST",
"address_2": "SUITE 301",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031653",
"telephone_number": "413-737-3700",
"fax_number": "413-736-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 MAIN ST",
"address_2": "SUITE 301",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031653",
"telephone_number": "413-737-3700",
"fax_number": "413-736-6515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP C. IRVING,DDS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IRVING",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "413-737-3700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "12970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9713841",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0248509",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.