Susan Diann Irey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6449 Issued in IA

Practice address

314 3Rd Ave South
Clinton, IA 52732

Phone

(563) 242-5041

Fax

(563) 242-5044

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

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.

• Clinton Dental Associates PC

  • General Practice Dentistry
  • Clinton, IA
  • NPI 1578508834
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639216310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 3RD AVE SOUTH",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "52732",
            "telephone_number": "563-242-5041",
            "fax_number": "563-242-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 3RD AVE SOUTH",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "52732",
            "telephone_number": "563-242-5041",
            "fax_number": "563-242-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IREY",
        "first_name": "SUSAN",
        "middle_name": "DIANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119842",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independent Optical Dispensary,Inc.
• William L Ingram III, MD
• Integrated Muscle & Spine Chiropractic Clinic Inc
• Iowa Dermatology Institute, P.C.
• Iowa Emergency Services LLC
• Mohammed Irshad, M.D.
• J & S Kelly LLC (Kelly's Medical Equipment & Supply)
• Ashley Marie James, ARNP
• Cathy Jankowski, RN
• Lisa Marie Jansen, DNP, ARNP, FNP-C

• General Practice Dentistry in Clinton, IA
• Providers in Clinton, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.