Irby Dental Cottage

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

903535 Issued in CO

Legal business name

IRBY DENTAL COTTAGE

Practice address

2099 West St # 50
Suite 180
Pueblo, CO 81008

Phone

(719) 543-8808

Fax

(719) 543-8808

NPI assigned

Jun 20, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Peggy Jo Irby, RDHNPI 1073693891

Title

Owner

Phone

(719) 543-8808

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peggy Jo Irby, RDH

  • Dental Hygienist
  • Pueblo, CO
  • NPI 1073693891
  NPD (past) Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1760832885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 COMANCHE RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011405",
            "telephone_number": "719-543-8808",
            "fax_number": "719-543-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 WEST ST # 50",
            "address_2": "SUITE 180",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-543-8808",
            "fax_number": "719-543-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRBY DENTAL COTTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-543-8808",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "903535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Healthcare of Southeastern Colorado, Inc.
• Internal Medicine & Pediatric Associates, LTD
• Internal Medicine Associates of Pueblo P.C.
• Internal Medicine Associates, PLLC
• Intuitive Science Holistic Massage Center, LLC
• Peggy Jo Irby, RDH
• Karen Marie Irick, LCSW, LAC
• Aprie Irwin, LPC
• Ufaq Ishtiaq
• Pamela Isley, NP

• Dental Hygienist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.