Individual provider Active NPI

Karine Tenorio Landim Barizon, MS

  • Dentist
  • Iowa City, IA
National Provider Identifier
1366766859
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30281 Issued in IA
Practice address
S229 Dental Science BLDG
Iowa City, IA 52242
Phone
(319) 335-7338
NPI assigned
Mar 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30281 IA Primary

Addresses

Primary practice location

S229 Dental Science BLDG
Iowa City, IA 52242

Mailing address

2030 Broadway St
Apt H
Iowa City, IA 52240-7050
Phone (319) 400-8019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 10, 2020 through Dec 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30281IAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1366766859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BROADWAY ST",
            "address_2": "APT H",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522407050",
            "telephone_number": "319-400-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S229 DENTAL SCIENCE BLDG",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-335-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARIZON",
        "first_name": "KARINE",
        "middle_name": "TENORIO LANDIM",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "30281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.