Kendra Marie Irizarry Pagan, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

057502-01 Issued in NY

Practice address

200 W 57TH St Ste 804
New York, NY 10019-3266

Phone

(646) 895-9680

Fax

(646) 895-9679

NPI assigned

Apr 16, 2013

Last updated

Nov 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 30, 2022 through Sep 30, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kirizarry31334@direct.medisys.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kip Oral & Maxillofacial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mayaguez, PR
  • NPI 1770498248
  Authorized official Same address or phone
• Carnegie Oral & Maxillofacial Surgery, PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • New York, NY
  • NPI 1033580220
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1427491786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E 96TH ST APT 18B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286222",
            "telephone_number": "917-705-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST STE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193266",
            "telephone_number": "646-895-9680",
            "fax_number": "646-895-9679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Calle Mudejar",
            "address_2": "Sultana",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006801437",
            "country_code": "US",
            "telephone_number": "787-429-9547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY PAGAN",
        "first_name": "KENDRA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "057502-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Consultants LLC
• Iris House, Inc.
• Iris Orbuch MD LLC
• Iris R Slater MD PC
• Robert Daniel Irish, MD
• Betsy Maribel Irizarry, OTR/L
• Darving C Irizarry, LMSW
• Gianna Irizarry
• Mayra Jeannette Irizarry, LPN
• Raphael Dario Irizarry

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.