Um Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

UM DENTAL INC

Doing business as

IVY ENDOTONTIC GROUP

Practice address

4040 Barranca Pkwy Ste 135a
Irvine, CA 92604-4773

Phone

(949) 262-1300

Fax

(949) 262-0453

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mary Um, DDS

Title

President

Phone

(248) 943-2307

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• IVY ENDOTONTIC GROUP Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayat Elsherif, DDS

  • Endodontics
  • Irvine, CA
  • NPI 1912497868
  NPD
• Paulene Katherine Salter, DDS

  • Endodontics
  • Irvine, CA
  • NPI 1023335981
  NPD (past)

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1821757089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BARRANCA PKWY STE 135A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044773",
            "telephone_number": "949-262-1300",
            "fax_number": "949-262-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BARRANCA PKWY STE 135A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044773",
            "telephone_number": "949-262-1300",
            "fax_number": "949-262-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UM DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "UM",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-943-2307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "107104",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVY ENDOTONTIC GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kort Christopher Ulicny, M.D.
• Ann Ullrich, MD
• Natalia Ullrich, REGISTERED DIETITIAN
• Ultimate Physical Medicine & Rehabilitation Apc
• Ultimate Ultrasound, P.C.
• Heleana Unanoff
• Jordan Unatin
• Cynthia Underwood, BCBA
• Unicare Physical Therapy, Inc.
• Unified Care Providers, Inc.

• Dental Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.