Ivy Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IVY DENTAL GROUP LLC

Practice address

6320 Commodore Sloat Dr.
#1
Los Angeles, CA 90048

Phone

(323) 936-9997

Fax

(323) 936-9998

NPI assigned

Nov 1, 2024

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Iveta Mokatz

Title

Member

Phone

(323) 936-9997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1538982251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 COMMODORE SLOAT DR.",
            "address_2": "#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-936-9997",
            "fax_number": "323-936-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 COMMODORE SLOAT DR.",
            "address_2": "#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-936-9997",
            "fax_number": "323-936-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "MOKATZ",
        "authorized_official_first_name": "IVETA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-936-9997"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armand Ivory
• Brittany Justine Ivory, MD, MPH
• Norman P Ivory
• Billie Faye Ivra, PH.D
• Gil B Ivry, D.D.S
• Ivy O. Li D.D.S. Inc.
• Daija Ivy, M.S., CCC-SLP
• Debora Ivy, RN, BSN, PHN, CBIS
• Amelia Iwamoto
• Brooke Kimiko Iwamoto

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.