NPIMap

Organization Active NPI

Izu & Bergmann Dental Associates, Inc.

  • General Practice Dentistry
  • Palm Desert, CA
National Provider Identifier
1962726950
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033244 Issued in PA
Legal business name
IZU & BERGMANN DENTAL ASSOCIATES, INC.
Practice address
74303 Highway 111
Suite 2a
Palm Desert, CA 92260-4141
Phone
(760) 340-0888
Fax
(760) 340-6827
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Mrs. Terri Sawdey
Title
Office Manager
Phone
(760) 340-0888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 033244 PA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 33245 PA
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 33245 PA

Addresses

Primary practice location

74303 Highway 111
Suite 2a
Palm Desert, CA 92260-4141

Mailing address

74303 Highway 111
Suite 2a
Palm Desert, CA 92260-4141
Phone (760) 340-0888

National Provider Directory

National Provider Directory

Locations

74303 Highway 111
Ste 2A
Palm Desert, CA 92260
Phone (760) 340-0888

Practitioners & affiliated clinicians

Practitioners 3

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": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1962726950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74303 HIGHWAY 111",
            "address_2": "SUITE 2A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604141",
            "telephone_number": "760-340-0888",
            "fax_number": "760-340-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74303 HIGHWAY 111",
            "address_2": "SUITE 2A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604141",
            "telephone_number": "760-340-0888",
            "fax_number": "760-340-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZU & BERGMANN DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "SAWDEY",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-340-0888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "033244",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "33245",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "33245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.