Ireland Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IRELAND DENTAL

Practice address

1251 W Kem Rd Ste G
Marion, IN 46952-2555

Phone

(765) 664-5164

Fax

(765) 664-3088

NPI assigned

May 23, 2007

Last updated

Aug 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roberta Schreoeder

Title

Office Manager

Phone

(765) 664-5164

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Marie Gove, DDS

  • General Practice Dentistry
  • Marion, IN
  • NPI 1356446330
  NPD (past)
• Heather Ireland X

  • Dentist
  • Marion, IN
  • NPI 1275577801
  NPD (past)
• James R Mercho, D.D.S.

  • Dentist
  • Marion, IN
  • NPI 1326238858
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1396955944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 W KEM RD STE G",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W KEM RD STE G",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522555",
            "telephone_number": "765-664-5164",
            "fax_number": "765-664-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRELAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHREOEDER",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-664-5164"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Wesleyan University (The Center for Sports & Physical Therapy)
• Indiana Wesleyan University (Wildcat Clinic)
• Amiee Ingram, BS, MATS
• Joyce Inskeep, LCSW
• Maria Ipo-Miller, PT
• Heather Ireland X
• Charles C. Isom, MA,CRC
• Madina Iusupova, MD
• Addison Jackey, RBT
• Chau N. Jackson, AGPCNP-BC

• Dentist in Marion, IN
• Providers in Marion, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.