Individual provider Active NPI

Jon Irelan, D.D.S., M.S., M.S.

  • Dentist
  • Nashville, TN
National Provider Identifier
1508267899
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7182-15 Issued in WI
Practice address
7518 Hwy 70 S Ste B
Nashville, TN 37221-1848
Phone
(615) 669-2780
NPI assigned
Sep 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 11454 TN
Dentist 122300000X 7182-15 WI Primary

Addresses

Primary practice location

7518 Hwy 70 S Ste B
Nashville, TN 37221-1848

Mailing address

9556 Sunnybrook Dr
Brentwood, TN 37027-8226
Phone (503) 715-6971

Other practice location 1

329 S Royal Oaks Blvd
Suite 200
Franklin, TN 37064
Phone (503) 715-6971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105000463 WI Order and Referring Only - DentistPractitioner - Dentist 4981906245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11454TNMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Irelan Endodontics PLLC Endodontics CurrentSince Sep 4, 2022 Accepting new patients
Elite Endodontics PLLC CurrentSince Sep 4, 2022 Accepting new patients

Locations

329 S Royal Oaks Blvd
Ste 200
Franklin, TN 37064
Phone (503) 715-6971

7518 Highway 70 S
Ste B
Nashville, TN 37221
Phone (615) 669-2780

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1508267899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9556 SUNNYBROOK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278226",
            "telephone_number": "503-715-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7518 HWY 70 S STE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211848",
            "telephone_number": "615-669-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 S Royal Oaks Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "37064",
            "country_code": "US",
            "telephone_number": "503-715-6971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRELAN",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-06",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "11454",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7182-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.