Michael D Irwin PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2808 Issued in AL

Legal business name

MICHAEL D IRWIN PA

Practice address

4162 Lomac St
Montgomery, AL 36106-3606

Phone

(334) 279-6910

Fax

(334) 279-6983

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Irwin, D.M.D.NPI 1467532135

Title

Owner/Manager

Phone

(334) 279-6910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Dennis Irwin, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Montgomery, AL
  • NPI 1467532135
  NPD (past) Authorized official

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1568752574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4162 LOMAC ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063606",
            "telephone_number": "334-279-6910",
            "fax_number": "334-279-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4162 LOMAC ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063606",
            "telephone_number": "334-279-6910",
            "fax_number": "334-279-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D IRWIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "334-279-6910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "2808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.