Ioanna Borissova Ulrich, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN24315 Issued in FL

Practice address

250 3Rd St NW
Winter Haven, FL 33881-4605

Phone

(863) 450-1956

NPI assigned

Mar 11, 2022

Last updated

Oct 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Origin Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wesley Chapel, FL
  • NPI 1871462366
  NPD Authorized official
• Ideal Braces, PA

  dba Escott Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mount Dora, FL
  • NPI 1013362763
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1164170916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SYLVIA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132005",
            "telephone_number": "813-955-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 3RD ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814605",
            "telephone_number": "863-450-1956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16307 Fishhawk Blvd",
            "address_purpose": "LOCATION",
            "city": "Lithia",
            "state": "FL",
            "postal_code": "335473932",
            "country_code": "US",
            "telephone_number": "656-225-7970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "IOANNA",
        "middle_name": "BORISSOVA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN24315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Twiss
• Cheryle Joy Ultra
• Lawrence Ultra, PT,DPT
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• Unchanging Hands Homecare LLC
• Unchanging Hands Non- Emergency Transportation

• Orthodontics and Dentofacial Orthopedics Dentistry in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.