Jeremy Maceo Irving, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

G1-0011534 Issued in DE

Practice address

18947 John J Williams Hwy Unit 309
Rehoboth Beach, DE 19971-4477

Phone

(302) 644-4460

NPI assigned

Feb 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jirvingdmd21784@beebehealth.direct-ci.com

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.

• Dicerbo & Irving LLC

  dba Coastal Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Seaford, DE
  • NPI 1083548580
  NPD Authorized official
• Coastal Kids Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Rehoboth Beach, DE
  • NPI 1821433145
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1891327466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 309",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714477",
            "telephone_number": "302-644-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 309",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714477",
            "telephone_number": "302-644-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Fallon Ave",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199731597",
            "country_code": "US",
            "telephone_number": "302-644-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVING",
        "first_name": "JEREMY",
        "middle_name": "MACEO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G1-0011534",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I & O Diabetes Consultants LLC
• Independence Prosthetics-Orthotics, Inc.
• Insight Health and Wellness, LLC
• Lori Sherman Irelan, DNP, FNP, APRN-BC
• Iris Counseling, LLC
• Dallas Taylor Jackson
• Merri-Ellen James
• Janice Hare LLC (Owner)
• Jeffrey M. Cooper, D.M.D., P.a.
• Kathi Jenks, R.PH.

• Pediatric Dentistry in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Pediatric Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.