Active NPI
Ian Duire, LMT
- Massage Therapist
- Glen Carbon, IL
National Provider Identifier
1992111207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 222.001977
- Practice address
- 3407 S State Route 157
Glen Carbon, IL 62034-1042 - Phone
- (618) 288-3610
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 222.001977 | IL | Primary |
Addresses
Primary practice location
3407 S State Route 157
Glen Carbon, IL 62034-1042
Mailing address
3407 S State Route 157
Glen Carbon, IL 62034-1042
Phone (618) 288-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222.001977 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1992111207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 S STATE ROUTE 157",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341042",
"telephone_number": "618-288-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 S STATE ROUTE 157",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341042",
"telephone_number": "618-288-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUIRE",
"first_name": "IAN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "222.001977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Carbon, IL
- Dover Hospice Il STL Metro, LLC
- Sara Downey, MSW, LCSW
- Dr. Mary Mioux-Berry, LLC
- Hannah Elizabeth Dudiak
- Kristi Duelm, LCPC
- Chelsea Lee Durbin, B.S., D.C.
- Kenneth Max Eakin, M.D.
- Eden Retirement Center, Inc. (Eden Village Care Center)
- Edwardsville Ambulatory Surgery Center LLC
- Elite Chiropractic Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.