Organization Active NPI

Iriff Ulep DDS, Inc

  • Dental Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1346975174
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IRIFF ULEP DDS, INC
Practice address
230 Station Way Ste a
Arroyo Grande, CA 93420-3383
Phone
(732) 307-4003
NPI assigned
Jul 16, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Iriff Keisha Dollaga Ulep, DDSNPI 1710539960
Title
Ceo
Phone
(805) 481-1884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

230 Station Way Ste a
Arroyo Grande, CA 93420-3383

Mailing address

230 Station Way Ste a
Arroyo Grande, CA 93420-3383
Phone (805) 481-1884

Other practice location 1

2120 Santa Barbara Ave Apt 303
San Luis Obispo, CA 93401-5284
Phone (732) 307-4003

National Provider Directory

National Provider Directory

Locations

230 Station Way
Ste A
Arroyo Grande, CA 93420
Phone (732) 307-4003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1346975174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 STATION WAY STE A",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203383",
            "telephone_number": "805-481-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 STATION WAY STE A",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203383",
            "telephone_number": "732-307-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Santa Barbara Ave Apt 303",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934015284",
            "country_code": "US",
            "telephone_number": "732-307-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRIFF ULEP DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "ULEP",
        "authorized_official_first_name": "IRIFF KEISHA",
        "authorized_official_middle_name": "DOLLAGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-481-1884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.