JOHN RICHARD IREDALE D.P.M. NPI 1477549160

NPI Information

NPI: 1477549160
Provider Name: JOHN RICHARD IREDALE, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
4119 CAPITOL ST
DURHAM, NC
ZIP 27704
Phone: (919) 477-0333
Get Directions

John Richard Iredale, D.P.M. is a foot and ankle surgery podiatrist in Durham, NC. John Richard Iredale, D.P.M. NPI is 1477549160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4119 CAPITOL ST
DURHAM, NC
ZIP 27704-153
Phone: (919) 477-0333
Fax: (919) 477-9389

The enumeration date for this NPI number is 9/27/2005 and was last updated on 5/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	51	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T64104	MEDICARE UPIN
2	8908092	MEDICAID	NORTH CAROLINA
3	243153	MEDICARE PIN	NORTH CAROLINA
4	08092	OTHER	NORTH CAROLINA	BCBS OF NC PROVIDER NUMBE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »