Individual provider Active NPI

Clyde Irons Jr.

  • General Care Registered Respiratory Therapist
  • Wickenburg, AZ
National Provider Identifier
1528499514
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
010739 Issued in AZ
Practice address
520 Rose LN
Wickenburg, AZ 85390-1447
Phone
(928) 684-4368
NPI assigned
Dec 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X 010739 AZ Primary

Addresses

Primary practice location

520 Rose LN
Wickenburg, AZ 85390-1447

Mailing address

10825 N 43Rd St
Phoenix, AZ 85028-3505

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

State licenses

LicenseStateTypeSpecialty
010739AZMDGeneral Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1528499514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 N 43RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901447",
            "telephone_number": "928-684-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRONS",
        "first_name": "CLYDE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "AZ",
            "license": "010739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.