Active NPI
Kayla M Risma, D.D.S.
- Student in an Organized Health Care Education/Training Program
- Iowa City, IA
National Provider Identifier
1104145465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 08808
- Practice address
- 322 Dental Science BLDG S
Pediatric Dentistry
Iowa City, IA 52242-1001 - Phone
- (319) 335-7440
- Fax
- (319) 335-7451
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6503-015 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 08808 | IA | Primary |
Addresses
Primary practice location
322 Dental Science BLDG S
Pediatric Dentistry
Iowa City, IA 52242-1001
Mailing address
201 Dental Science BLDG. S
Pediatric Dentistry
Iowa City, IA 52242-1001
Phone (319) 335-7440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6503-015 | WI | MD | Dentist |
| 08808 | IA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1104145465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DENTAL SCIENCE BLDG. S",
"address_2": "PEDIATRIC DENTISTRY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421001",
"telephone_number": "319-335-7440",
"fax_number": "319-335-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 DENTAL SCIENCE BLDG S",
"address_2": "PEDIATRIC DENTISTRY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421001",
"telephone_number": "319-335-7440",
"fax_number": "319-335-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISMA",
"first_name": "KAYLA",
"middle_name": "M",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6503-015",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "08808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.