Active NPI
Tipapat Attathom, D.D.S., M.S.
- Dentist
- Iowa City, IA
National Provider Identifier
1154654101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- #30246
- Practice address
- Operative Dentistry, DSB, College of Dentistry
University of Iowa
Iowa City, IA 52242-1010 - Phone
- (319) 621-1272
- NPI assigned
- Sep 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | #30246 | IA | Primary |
Addresses
Primary practice location
Operative Dentistry, DSB, College of Dentistry
University of Iowa
Iowa City, IA 52242-1010
Mailing address
Operative Dentistry, DSB, College of Dentistry
University of Iowa
Iowa City, IA 52242-1010
Phone (319) 621-1272
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #30246 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1154654101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OPERATIVE DENTISTRY, DSB, COLLEGE OF DENTISTRY",
"address_2": "UNIVERSITY OF IOWA",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421010",
"telephone_number": "319-621-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OPERATIVE DENTISTRY, DSB, COLLEGE OF DENTISTRY",
"address_2": "UNIVERSITY OF IOWA",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421010",
"telephone_number": "319-621-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTATHOM",
"first_name": "TIPAPAT",
"name_prefix": "Miss",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "#30246",
"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 Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.