Benjamin Irzyk, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

04147 Issued in NH

Practice address

85 Merrimac St
Portsmouth, NH 03801-5173

Phone

(603) 436-6922

NPI assigned

Apr 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hometown Dental

  • Dental Clinic/Center
  • Portsmouth, NH
  • NPI 1053990739
  NPD Authorized official
• JD Howard Dental, LLC

  • General Practice Dentistry
  • Dover, NH
  • NPI 1255478657
  NPD (past)
• Marc a. Greer DMD

  • General Practice Dentistry
  • Portsmouth, NH
  • NPI 1205011046
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1588082002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MERRIMAC ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015173",
            "telephone_number": "603-436-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MERRIMAC ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015173",
            "telephone_number": "603-436-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRZYK",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "0000000000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integricare, Inc.
• Integricare, Inc.
• Integrity Medical of New Hampshire, LLC
• Intensive Care Consortium Inc
• Matthew Irving, BA
• Jacqueline Rose Irzyk, APRN
• Island City Psych Services LLC
• Taylor Italia
• David J Itkin, MD
• John M Iudice, LICSW, MLADC

• Dentist in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.