IndividualActive
Manuel Iravedra, D.M.D., B.S.PH
NPI 1801941422 · Periodontics · Chinle, AZ
Provider details
- NPI number
- 1801941422
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D., B.S.PH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2750 (PR)
Specialties & taxonomies
Dental Providers
Pharmacy Service Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Po Box Ph
Chinle, AZ 86503-8000
Phone: (928) 674-7001
Approximate (ZIP-level) locationGet directions
Mailing address
1814 Calle Glasgow
San Juan, PR 00921-4814
Additional practice locations (1)
- 1814 Calle GlasgowSan Juan, PR 00921-4814Phone: (787) 758-8510
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.