Active NPI
David Ireland, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Bellaire, TX
National Provider Identifier
1417401613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 5222 Spruce St
Bellaire, TX 77401-3311 - Phone
- (713) 255-5097
- Fax
- (713) 626-2337
- NPI assigned
- Aug 5, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
5222 Spruce St
Bellaire, TX 77401-3311
Mailing address
4141 Southwest Fwy
Suite 410
Houston, TX 77027-7313
Phone (713) 255-5097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3504 | Other | CNIM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1417401613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 SOUTHWEST FWY",
"address_2": "SUITE 410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277313",
"telephone_number": "713-255-5097",
"fax_number": "713-626-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 SPRUCE ST",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013311",
"telephone_number": "713-255-5097",
"fax_number": "713-626-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRELAND",
"first_name": "DAVID",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-05",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNIM",
"identifier": "3504",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.