Larry Gene Irwin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS1669 Issued in TN

Practice address

11161 Kingston Pike
Suite #1
Knoxville, TN 37934-2850

Phone

(865) 966-8716

Fax

(865) 966-1209

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902938475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SAINT ANDREWS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342413",
            "telephone_number": "865-966-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 KINGSTON PIKE",
            "address_2": "SUITE #1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342850",
            "telephone_number": "865-966-8716",
            "fax_number": "865-966-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "LARRY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Irwin-Bloom
• Brian Corbitt Irwin
• Catherine Stroop Irwin
• James Tyler Irwin, FNP-C
• John Bruce Irwin, M.D.
• Lora Carol Irwin, WHNP
• Mark Irwin
• Azhar Muhsen Isa
• Mary Susan Isaac, ANP
• Fredia Isaacs

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.