MR. DAVID J IRWIN (NPI# 1750586608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750586608 |
| Entity Type | Individual |
| Full Name | MR. DAVID J IRWIN |
| Credential | DDS |
| Practice Address |
1502 Main St Bloomer WI 54724-1686 |
| Practice Telephone | 7155682363 |
| Practice Fax Number | 7155682373 |
| Mailing Telephone | 7155682363 |
| Mailing Fax Number | 7155682373 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5386 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33766900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346307402 | David J. Irwin | Dentist | 4462 Olney St, San Diego, CA 92109-4742 | 2007-01-01 |
| 1851400790 | David Paul Irwin II | Social Worker | 421 E 137th St, Kansas City, MO 64145-1455 | 2006-08-30 |
| 1467987081 | David L Irwin | Internal Medicine | 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 | 2017-04-21 |
| 1033487913 | David Bruce Irwin | Pharmacist | 555 S Sunrise Way, Suite 112-113, Palm Springs, CA 92264-7869 | 2011-12-07 |
| 1013232065 | David Christopher Irwin | Radiology | 7026 Old Katy Rd, Suite 276, Houston, TX 77024-2133 | 2010-04-01 |
| 1194986356 | David J Irwin | Psychiatry & Neurology | 3400 Spruce Street, 2 Ravdin, Philadelphia, PA 19104 | 2008-06-20 |
| 1184822264 | David Michael Irwin | Anesthesiology | 201 State St, Erie, PA 16550-0002 | 2007-07-10 |
| 1649305756 | David S. Irwin | Psychiatry & Neurology | 3204 Tower Oaks Blvd, Suite 250, Rockville, MD 20852 | 2007-02-22 |
| 1740379130 | David H. Irwin | Physical Therapist | 1934 Hickory St, Abilene, TX 79601-2336 | 2006-10-12 |
| 1821108077 | David H Irwin Jr. | Internal Medicine | 499 Gloster Creek Vlg Ste A2, Cardiology Associates of North Ms, Pa, Tupelo, MS 38801-4749 | 2006-08-30 |
| Street Address |
1502 MAIN ST |
| City | BLOOMER |
| State | WI |
| Zip Code | 54724-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356542 | Kaitlin Knutson | Dentist | 1502 Main St, Bloomer, WI 54724-1639 | 2017-06-18 |
| 1659638468 | Christopher David Goettl | Student in an Organized Health Care Education/Training Program | 1502 Main St, Bloomer, WI 54724-1639 | 2012-04-18 |
| 1205031150 | Gregory A Mihm | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-20 |
| 1487859336 | Thomas J Rufledt | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-20 |
| 1245433580 | Blue Diamond Family Dental Sc | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093064545 | Robin Lachance | Physical Therapy Assistant | 1731 17th Avenue, Bloomer, WI 54724 | 2012-08-30 |
| 1104051614 | Nancy L Stiehm | Home Health Aide | 721 Priddy St, Bloomer, WI 54724 | 2009-05-28 |
| 1508013566 | Dianne Marie Goettl | Reflexologist | 1610 Main Street, Bloomer, WI 54724 | 2008-08-21 |
| 1609956481 | Timothy John Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1427058122 | Ronald J Reimer | Physician Assistant | 1501 Thompson St, Bloomer, WI 54724 | 2005-07-26 |
| 1851827752 | Kimberly Carol Nicolai | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724 | 2017-05-11 |
| 1639430788 | Celestine Chukwunonso Odenigbo | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2012-06-05 |
| 1124250436 | Tania Riske | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2009-08-20 |
| 1922230259 | Amy Sue Hilbert | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2009-08-20 |
| 1659527281 | Janki Natu Patel | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2008-08-14 |
| Find all providers in zip 54724 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356542 | Kaitlin Knutson | Dentist | 1502 Main St, Bloomer, WI 54724-1639 | 2017-06-18 |
| 1205031150 | Gregory A Mihm | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-20 |
| 1487859336 | Thomas J Rufledt | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-20 |
| 1245433580 | Blue Diamond Family Dental Sc | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.