Active NPI
Dennis Kenneth Iglar, M.D.
- Family Medicine Physician
- Palm Springs, CA
National Provider Identifier
1578556809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G22478
- Practice address
- 275 N El Cielo Rd
Palm Springs, CA 92262-6972 - Phone
- (760) 320-8814
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G22478 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 17633 | WI |
Addresses
Primary practice location
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Mailing address
2750 Golf Rd
Prohealth Care Medical Associates Inc
Delafield, WI 53018-2062
Phone (262) 928-3270
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22478 | CA | MD | Marriage & Family Therapist |
| G22478 | CA | MD | Family Medicine Physician |
| 17633 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1578556809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 GOLF RD",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182062",
"telephone_number": "262-928-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N EL CIELO RD",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626972",
"telephone_number": "760-320-8814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGLAR",
"first_name": "DENNIS",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G22478",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "17633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.