IVY BURGE


Address: 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405-8570
Phone: 7075427299

IVY BURGE (NPI# 1881213379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881213379
Entity Type Individual
Full Name IVY BURGE
Credential RDA
Practice Address 2798 Yulupa Ave Ste 3
Santa Rosa
CA 95405-8570
Mailing Address 5220 Fulton Rd Apt 6
Santa Rosa
CA 95403-1242
Practice Telephone 7075427299
Mailing Telephone 7078894306
Enumeration Date 2020-04-14
Last Update Date 2020-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant RDA92988 CA Dental Providers

Office Location

Street Address 2798 YULUPA AVE STE 3
City SANTA ROSA
State CA
Zip Code 95405-8570

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053853242 Stephanie Settimi Dds, Inc Dentist 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405-8570 2016-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083230486 Lizett Camacho Counselor 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 2020-06-22
1346768918 Ingrid Tsong Student in an Organized Health Care Education/Training Program 3447 Summerfield Road, Santa Rosa, CA 95405 2017-09-05
1275051898 Jessica Peters Malmberg Student in an Organized Health Care Education/Training Program 2447 Summerfield Rd, Santa Rosa, CA 95405 2017-09-04
1306246772 Kirsten Eckert Advanced Practice Midwife 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 2014-09-03
1982034294 Mohammad Reza Saeidi Dentist 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 2013-11-22
1851631642 Debi M. Emmons Marriage & Family Therapist 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 2013-02-15
1841549979 Karie Louise Klim Marriage & Family Therapist 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 2012-09-05
1427314400 Rachel E. Page Counselor 2447 Summerfield Rd., Santa Rosa, CA 95405 2012-04-04
1689991572 Center for Integral Healing Inc. Community Health Worker 182 Farmers Lane, #203, Santa Rosa, CA 95405 2010-04-30
1588997647 Kai Morgan Dentist 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 2009-09-08
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639779499 Candelaria S Muro Dental Assistant 34390 Scotella Rd, Temecula, CA 92592-9352 2020-10-29
1609476647 Corie Zenobia Rideau Dental Assistant 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 2020-10-28
1255930921 Darlene Marie Piltingsrud Dental Assistant 13128 14 Th St, Camp Pendelton, CA 92055-5221 2020-10-22
1770182529 Virginia Santiago Williams Dental Assistant 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 2020-10-22
1649878968 Rosalyn Mendoza Dental Assistant 18264 Ramona Ave, Fontana, CA 92336-3060 2020-10-09
1700483062 Alyssa R Mauro Dental Assistant 5681 Raintree Way, Oceanside, CA 92057-4813 2020-10-08
1588261119 Andrea Conners Dental Assistant 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 2020-10-06
1720695984 Douglas Thomas Duncan Dental Assistant 92055- 14th Strret, Oceanside, CA 92055 2020-09-30
1548877004 Juliaisa Gisselle Caldero Dental Assistant Bldg 13128, Oceanside, CA 92058 2020-09-29
1528675980 Dora Louise Young Dental Assistant 92055 14th Street, Camp Pendleton, CA 92055 2020-09-29
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Competitor

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City SANTA ROSA
Zip Code 95405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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