DR. THOMAS PAUL IRWIN JR. (NPI# 1124032875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124032875 |
| Entity Type | Individual |
| Full Name | DR. THOMAS PAUL IRWIN JR. |
| Credential | DMD |
| Practice Address |
3024 Victoria St Bettendorf IA 52722-2793 |
| Practice Telephone | 5633322447 |
| Practice Fax Number | 5633329787 |
| Mailing Telephone | 5633322447 |
| Mailing Fax Number | 5633329787 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7441 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1066167 | 05 | |
| IA | UNITED CONCORDIA | 671437 | 01 |
| IA | BCBS | 41426 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538353230 | Thomas L Irwin Jr. | Social Worker | 462 N Taylor Ave, Saint Louis, MO 63108-1831 | 2007-09-05 |
| 1942307699 | Thomas Michael Irwin | Chiropractor | 701 S Second St, Cherokee, IA 51012 | 2006-09-17 |
| 1487760583 | Thomas M Irwin Jr. | Dentist | 428 N Second Street, Philipsburg, PA 16866 | 2006-08-22 |
| 1588282099 | Thomas Robert Irwin | Physical Therapist | 1868 Hooper Ave Ste C, Toms River, NJ 08753-8175 | 2020-07-10 |
| 1306989397 | Thomas C Irwin | Chiropractor | 94241 Sixth St, Gold Beach, OR 97444 | 2007-02-15 |
| 1083711378 | Thomas Bergan Irwin | Internal Medicine | 33 North St, Dalton, MA 01226-1202 | 2006-09-20 |
| 1629172358 | Thomas M Irwin Jr. | Otolaryngology | 1111 Medical Center Blvd, Suite N406, Marrero, LA 70072-3151 | 2006-09-12 |
| Street Address |
3024 VICTORIA ST |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-2793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043224637 | Jason R Benoit | Dentist | 3024 Victoria St, Bettendorf, IA 52722-2793 | 2006-07-28 |
| 1992275358 | Vinti Ahuja | Dentist | 3024 Victoria St, Bettendorf, IA 52722-2793 | 2018-11-28 |
| 1740621432 | Jonathan Andrew Wenger | Dentist | 3024 Victoria St, Bettendorf, IA 52722-2793 | 2013-07-10 |
| 1033344130 | Qc Dental Docs, P.C. | Dentist | 3024 Victoria St, Bettendorf, IA 52722-2793 | 2009-05-19 |
| 1972759546 | Kelly Lee Kingma | Dentist | 3024 Victoria St, Bettendorf, IA 52722-2793 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192407 | Paul R Black Dds PC | Dentist | 2525 Kimberly Rd Ste 3, Bettendorf, IA 52722-3538 | 2017-02-09 |
| 1114367273 | Michael Wayne Vandello | Dentist | 5532 Joshua St, Bettendorf, IA 52722-1152 | 2013-07-02 |
| 1528290947 | Richard D. Nelson, Dds PC | Dentist | 2430 Tech Dr Ste A, Bettendorf, IA 52722-3258 | 2009-08-18 |
| 1013044684 | Bettendorf Dental PC | Dentist | 2515 Maplecrest Road, Bettendorf, IA 52722 | 2007-02-28 |
| 1518050772 | Robert Lang Byrum | Dentist | 3878 Middle Rd, Bettendorf, IA 52722 | 2006-10-02 |
| 1982616058 | Timothy James Smith | Dentist | 2820 Aaa Ct, Bettendorf, IA 52722-6752 | 2006-08-13 |
| 1043224637 | Jason R Benoit | Dentist | 3024 Victoria St, Bettendorf, IA 52722-2793 | 2006-07-28 |
| 1417961517 | Richard Dean Nelson | Dentist | 2430 Tech Dr, Suite A, Bettendorf, IA 52722-3258 | 2006-07-27 |
| 1114942919 | David Rex Schleusener | Dentist | 1980 Spruce Hills Dr, Bettendorf, IA 52722-2684 | 2006-07-13 |
| 1669418083 | Stephen Ross Touvelle | Dentist | 3520 Utica Ridge Rd, Bettendorf, IA 52722 | 2006-06-22 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.