Active NPI
Supitcha Talungchit, DDS
- Dentist
- Iowa City, IA
National Provider Identifier
1508014036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30229
- Practice address
- Newton Road
S229 DSB the University of Iowa
Iowa City, IA 52246 - Phone
- (319) 335-7338
- Fax
- (319) 335-7218
- NPI assigned
- Sep 9, 2008
- 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 | 30229 | IA | Primary |
Addresses
Primary practice location
Newton Road
S229 DSB the University of Iowa
Iowa City, IA 52246
Mailing address
1022 Newton Road
Apt #1
Iowa City, IA 52246
Phone (319) 621-0863
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 |
|---|---|---|---|
| 30229 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1508014036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 NEWTON ROAD",
"address_2": "APT #1",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52246",
"telephone_number": "319-621-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEWTON ROAD",
"address_2": "S229 DSB THE UNIVERSITY OF IOWA",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52246",
"telephone_number": "319-335-7338",
"fax_number": "319-335-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALUNGCHIT",
"first_name": "SUPITCHA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "30229",
"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, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.