David Russ Irvin, DACCM, LAC, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1808 Issued in TX

Practice address

2500 W William Cannon Dr Ste 201
Austin, TX 78745-5288

Phone

(737) 217-5763

NPI assigned

Aug 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1366054025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 COPANO DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787493810",
            "telephone_number": "737-217-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455288",
            "telephone_number": "737-217-5763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Copano Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787493810",
            "country_code": "US",
            "telephone_number": "737-217-5763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "DAVID",
        "middle_name": "RUSS",
        "name_prefix": "Dr.",
        "credential": "DACCM, LAC, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-23",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "2459",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "100480",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "1808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "david_eye@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "general",
            "address_1": "7703 Copano Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787493810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Iron Ridge Recovery
• Irons Counseling & Supervision
• Abigail Ironside, MD
• Steven Irsay, LPC
• Farhan Irshad, MD, FACS
• Lydia Irvin, BCBA
• Morgan Irvin
• Stuart Irvin, PHD
• Abigail Irwin
• Richard Drew Irwin, O.D.

• Acupuncturist in Austin, TX
• Providers in Austin, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; 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.