Individual provider Active NPI

Elizabeth Farrell Irons, DDS, MDS

  • Periodontics
  • Charlotte, NC
National Provider Identifier
1366916652
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12771 Issued in NC
Practice address
6743 Fairview Rd
Charlotte, NC 28210-3485
Phone
(704) 366-2774
NPI assigned
Jan 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1865 FL
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 12771 NC Primary

Addresses

Primary practice location

6743 Fairview Rd
Charlotte, NC 28210-3485

Mailing address

6743 Fairview Rd
Charlotte, NC 28210-3485
Phone (704) 366-2774

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1865FLMDGeneral Practice Dentistry
12771NCMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1366916652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103485",
            "telephone_number": "704-366-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6743 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103485",
            "telephone_number": "704-366-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRONS",
        "first_name": "ELIZABETH",
        "middle_name": "FARRELL",
        "name_prefix": "Dr.",
        "credential": "DDS, MDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "1865",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "12771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.