Jack Irvin D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18767 Issued in OH

Legal business name

JACK IRVIN D.D.S., INC.

Practice address

220 Fernwood Road
Wintersville, OH 43953-9616

Phone

(740) 264-5321

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Harvey Irvin Jr., D.D.S.

Title

Owner

Phone

(740) 264-5321

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568678787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FERNWOOD ROAD",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439539616",
            "telephone_number": "740-264-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FERNWOOD ROAD",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439539616",
            "telephone_number": "740-264-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK IRVIN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-264-5321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian Creek Local Schools
• Jack Irvin, D.D.S.
• John Harvey Irvin, D.D.S.
• Joy A Irvin, APRN-CNP
• Milynnda Gaitan Isla
• Emily Anne Jackson, PSY.D.
• Jamie Michelle James, LSW S 0031207
• Christin M. Jungers
• Kateri Kalpakgian, CT
• Melissa K Keyser, PA-C

• General Practice Dentistry in Wintersville, OH
• Providers in Wintersville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.