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DR. IRINA ADLER DDS
NPI 1164607172
Dentist - Periodontics in Manchester, NH

Active since January 08, 2008Opted out of Medicare · through Aug 24, 2026
30 CANTON ST STE 12, MANCHESTER, NH 03103(603) 668-6434 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Irina Adler Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IRINA ADLER DDS (NPI 1164607172) is an individual periodontics provider in Manchester, New Hampshire, licensed in New Hampshire (3946) and active in the NPI registry since January 2008. She has opted out of Medicare through August 24, 2026 and remains eligible to order and refer and maintains a secondary practice location in Danbury.

NPPES Registry Identity

NPI1164607172
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. IRINA ADLERCredential: DDS
Location Address30 CANTON ST STE 12Manchester, NH 03103-3524
Mailing Address30 Canton St Ste 12Manchester, NH 03103-3524 · (603) 668-6434
Phone(603) 668-6434
Sole ProprietorYes
Enumeration DateJanuary 8, 2008
Last NPPES UpdateSeptember 11, 2018
✔ NPI 1164607172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NH · 3946
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
30 CANTON ST STE 12, Manchester, NH 03103
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Secondary Practice Location 1

Location 117 Cambridge DrDanbury, CT 06811-4051 · Phone (646) 325-9260 · Fax (203) 544-1999

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Irina Adler Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 24, 2018 through August 24, 2026.

Opt-Out Effective DateAugust 24, 2018
Opt-Out In Effect ThroughAugust 24, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EKATERINA KOKOREVA
Dental Hygienist
30 CANTON ST STE 12
MANCHESTER, NH 03103
Hillsborough County (603) 668-6434
MANCHESTER DENTAL SURGERY AND IMPLANT CENTER
Clinic/Center (Dental)
30 CANTON ST STE 12
MANCHESTER, NH 03103
Hillsborough County (603) 668-6434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irina Adler's NPI number?

The NPI number for Irina Adler is 1164607172. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Irina Adler located?

Irina Adler practices at 30 Canton St Ste 12, Manchester, NH 03103. The listed phone number is (603) 668-6434.

What is Irina Adler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Irina Adler enrolled in Medicare?

No. Irina Adler has opted out of Medicare through August 24, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Irina Adler was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.