DR. IDA NOURBAKHSH (NPI# 1295335404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295335404 |
| Entity Type | Individual |
| Full Name | DR. IDA NOURBAKHSH |
| Credential | DDS |
| Practice Address |
1947 E Redondo Ave Salt Lake City UT 84108-3119 |
| Practice Telephone | 8016411537 |
| Mailing Telephone | 8016411537 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11890735-8903 | UT | Dental Providers |
| Street Address |
1947 E REDONDO AVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1710450655 | Kelly D. Carroll D.d.s., PC | Dentist | 2114 E Fort Union Blvd, Salt Lake City, UT 84121-3142 | 2019-01-03 |
| 1730667031 | Hm Salt Lake | Dentist | 7138 S Highland Dr Ste 214, Salt Lake City, UT 84121-3783 | 2018-07-30 |
| 1316430721 | Kyle Perkins | Dentist | 268 W 400 S, Salt Lake City, UT 84101-1831 | 2018-06-11 |
| 1730634353 | Kyle J Baldwin | Dentist | 4046 S Highland Dr, Ste #113, Salt Lake City, UT 84124-1673 | 2016-08-24 |
| 1780047670 | Dane Parke Mullinax | Dentist | 831 S 700 E, Salt Lake City, UT 84102-3505 | 2016-03-30 |
| 1396105425 | Michael Lee Vanleeuwen | Dentist | 6936 S Promenade Dr Ste 201, Salt Lake City, UT 84121-3365 | 2016-03-02 |
| 1831555168 | Smile Dental Studio PC | Dentist | 1400 S Foothill Dr, Ste #36, Salt Lake City, UT 84108-2392 | 2015-12-31 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| 1568855377 | Herald Ruth Clark | Dentist | 3643 S Highland Dr, Salt Lake City, UT 84106-3212 | 2015-03-18 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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| 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.