Irvingverse Iom LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

IRVINGVERSE IOM LLC

Practice address

803 Little Cub Way
Euless, TX 76039

Phone

(682) 560-9127

Fax

(817) 494-3249

NPI assigned

Dec 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Dave Ramon Mendez, BS, CNIM

Title

Managing Member

Phone

(682) 560-9127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1972075323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 LITTLE CUB WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "76039",
            "telephone_number": "682-560-9127",
            "fax_number": "817-494-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 LITTLE CUB WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "76039",
            "telephone_number": "682-560-9127",
            "fax_number": "817-494-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINGVERSE IOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "682-560-9127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tehmina S Husain, M.D.
• Ideal Dental of Euless
• Ijeoma Nnamani MD PA
• Cheri D Infante, OTR
• Iqbal Dental of Euless
• Mamudu Balima Issah, MT
• Courtney Lee Janes, LPC-I
• Niki D Jayswal, D.D.S.
• Nealy Louis Jenkins, LCSW
• Jerry L Lugger MD PA

• Surgical Technologist in Euless, TX
• Providers in Euless, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.