Organization Active NPI

Irie Dental Spa of the Oranges

Doing business as Irie Dental Spa

  • General Practice Dentistry
  • East Orange, NJ
National Provider Identifier
1942819644
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IRIE DENTAL SPA OF THE ORANGES
Doing business as
Irie Dental Spa
Practice address
15 Freeman Ave
East Orange, NJ 07018-3429
Phone
(973) 673-4743
Fax
(973) 453-8146
NPI assigned
Jul 28, 2020
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dr. Ruth Elaine Parkin-Edwin, DENTISTNPI 1275507162
Title
Dentist
Phone
(973) 673-4743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

15 Freeman Ave
East Orange, NJ 07018-3429

Mailing address

15 Freeman Ave
East Orange, NJ 07018-3429
Phone (973) 673-4743

Other names 1

  • Irie Dental Spa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416000298 NJ Part B Supplier - Clinic/Group Practice 3577914985 Receives reassigned benefits from 1 practitioner
Practice locations: East Orange, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1942819644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FREEMAN AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183429",
            "telephone_number": "973-673-4743",
            "fax_number": "973-453-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FREEMAN AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183429",
            "telephone_number": "973-673-4743",
            "fax_number": "973-453-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIE DENTAL SPA OF THE ORANGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "PARKIN-EDWIN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-673-4743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irie Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.