Active NPI
Ilan Irie
- Reflexologist
- Dunwoody, GA
National Provider Identifier
1497171177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- Practice address
- 4646 N Shallowford Rd
Dunwoody, GA 30338-6308 - Phone
- (770) 676-6000
- NPI assigned
- Mar 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | Primary |
Addresses
Primary practice location
4646 N Shallowford Rd
Dunwoody, GA 30338-6308
Mailing address
2828 Chicopee Dr
Doraville, GA 30360-2639
Phone (404) 374-1924
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": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1497171177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 CHICOPEE DR",
"city": "DORAVILLE",
"state": "GA",
"postal_code": "303602639",
"telephone_number": "404-374-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 N SHALLOWFORD RD",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303386308",
"telephone_number": "770-676-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIE",
"first_name": "ILAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.