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IRWIN MEDINA DDS
NPI 1710990965
Dentist in New York, NY

Active since August 15, 2006
47 E 77TH ST STE 216, NEW YORK, NY 10075(212) 689-7199 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 27, 2018 (2 updates tracked since 2018).

About Irwin Medina Dds NPPES

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

IRWIN MEDINA DDS (NPI 1710990965) is an individual dentist in New York, New York, licensed in New York (051836) and active in the NPI registry since August 2006. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1710990965
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameIRWIN MEDINACredential: DDS
Location Address47 E 77TH ST STE 216New York, NY 10075-1730
Mailing Address4 Sadore Ln Apt 7xYonkers, NY 10710-4757 · (914) 393-5715
Phone(212) 689-7199
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1710990965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 051836
Definition
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.
47 E 77TH ST STE 216, New York, NY 10075
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Secondary Practice Location 1

Location 11894 Walton AveBronx, NY 10453-6018 · Phone (718) 583-3060 · Fax (718) 583-3360

Other Identifiers 1

Other051836NY · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Irwin Medina's NPI number?

The NPI number for Irwin Medina is 1710990965. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Irwin Medina located?

Irwin Medina practices at 47 E 77th St Ste 216, New York, NY 10075. The listed phone number is (212) 689-7199.

What is Irwin Medina's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Irwin Medina accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Irwin Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Irwin Medina was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.