Karla Iyonmahan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6913 Issued in NC

Practice address

Marine Corps Base - Camp Lejeune
460 BLDG Julian C. Smith Blvd
Camp Lejeune, NC 28542

Phone

(910) 451-1013

NPI assigned

Oct 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karla A Tassian Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457349649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MERRIMON AVE STE C",
            "address_2": "SUITE 355",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042467",
            "telephone_number": "704-737-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARINE CORPS BASE - CAMP LEJEUNE",
            "address_2": "460 BLDG JULIAN C. SMITH BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28542",
            "telephone_number": "910-451-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYONMAHAN",
        "first_name": "KARLA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "TASSIAN",
            "middle_name": "A",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cameron James Isaac, DMD
• Luke A Isaacs, SOIDC
• Yvette Iskander
• Cynthia Ista, L.AC.
• Stephen Michael Ito
• Ryan Scott Jackson, PHARMD, RRT
• Neil Jain, M.D.
• Corey Robert James, ATC
• Angela Brianne Jantomaso, LCSWA
• Jennifer Leigh Jewell, FNP-C

• General Practice Dentistry in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.