Active NPI
Iryna Hryvenko Daline
- Endodontics
- Austin, TX
National Provider Identifier
1679026595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 39193
- Practice address
- 1920 E Riverside Dr Ste a-140
Austin, TX 78741-1351 - Phone
- (512) 640-8747
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418170 | VA | |
| Dentist | 122300000X | 39193 | TX | |
| Dentist | 122300000X | R665 | MN | |
| Orofacial Pain Dentistry | 1223X2210X | S152 | MN | |
| Orofacial Pain Dentistry | 1223X2210X | 39193 | TX | |
| Endodontics | 1223E0200X | 39193 | TX | Primary |
Addresses
Primary practice location
1920 E Riverside Dr Ste a-140
Austin, TX 78741-1351
Mailing address
11009 Alterra Pkwy Apt 1719
Austin, TX 78758-1309
Phone (612) 458-4781
Other names 1
- Iryna Hryvenko
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R665 | MN | MD | Dentist |
| 0401418170 | VA | MD | Dentist |
| 39193 | TX | MD | Endodontist |
| S152 | MN | MD | Orofacial Pain Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1679026595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11009 ALTERRA PKWY APT 1719",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787581309",
"telephone_number": "612-458-4781",
"fax_number": "612-626-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E RIVERSIDE DR STE A-140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787411351",
"telephone_number": "512-640-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALINE",
"first_name": "IRYNA",
"middle_name": "HRYVENKO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418170",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39193",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "R665",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "MN",
"license": "S152",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "TX",
"license": "39193",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "39193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRYNA",
"last_name": "HRYVENKO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.