DR. KELLY RAE IRWIN (NPI# 1598295354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598295354 |
| Entity Type | Individual |
| Full Name | DR. KELLY RAE IRWIN |
| Credential | DMD |
| Practice Address |
14650 N Kelsey St Ste 104-105 Monroe WA 98272-1456 |
| Practice Telephone | 3606948580 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60757252 | WA | Dental Providers |
| N | 122300000X | Dentist | 600757252 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497250971 | Kelly Irwin | Pediatrics | 700 Childrens Dr, Columbus, OH 43205 | 2018-03-27 |
| 1124550884 | Kelly Jennifer Irwin | Technician, Other | 32100 Telegraph Rd, Suite 185, Bingham Farms, MI 48025-2452 | 2017-03-31 |
| 1083998272 | Kelly Boseman Irwin | Speech-Language Pathologist | 921 Jr High School Rd, Scotland Neck, NC 27874-1219 | 2011-10-05 |
| 1013176650 | Kelly E Irwin | Psychiatry & Neurology | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2008-06-09 |
| Street Address |
14650 N KELSEY ST STE 104-105 |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| 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 |
|---|---|---|---|---|
| 1851934160 | Walton Family Dentistry LLC | Dentist | 862 Michael Etchison Rd, Monroe, GA 30655-8204 | 2019-10-21 |
| 1306404363 | Laten Edwards Barham | Dentist | 4351 Pecanland Mall Dr, Monroe, LA 71203-7014 | 2019-06-04 |
| 1932622701 | Rory J Perimenis | Dentist | 324 Elm St Ste 201a, Monroe, CT 06468-2282 | 2017-07-24 |
| 1356879118 | Patricia Pass-dudley Dds PC | Dentist | 516 Great Oaks Dr, Monroe, GA 30655-8211 | 2017-05-24 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1881148195 | Khalid I Ragab | Dentist | 2165 N Telegraph Rd, Monroe, MI 48162-8947 | 2016-08-04 |
| 1457703696 | Monique Hudson,dds, Pa | Dentist | 2200 Walters Division Rd, Monroe, NC 28110-8562 | 2016-07-12 |
| 1114302395 | Patrick Burkardt | Dentist | 2015 Heiss Rd, Monroe, MI 48162-9406 | 2015-07-29 |
| 1417335142 | Michael Doo Hyun Kang | Dentist | 324 Elm St Ste 103a, Monroe, CT 06468-2281 | 2015-05-14 |
| 1588054779 | Lane Eddleman, Dds, LLC | Dentist | 2511 Broadmoor Blvd, Monroe, LA 71201-2987 | 2015-01-27 |
| Find all providers in MONROE | ||||
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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.