Individual provider Active NPI

Corey S Karmazin, DDS

  • Dentist
  • Sioux Falls, SD
National Provider Identifier
1912008517
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M959 Issued in SD
Practice address
3220 W 57TH St
Suite 115
Sioux Falls, SD 57108-3145
Phone
(605) 323-1320
Fax
(605) 323-1329
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M959 SD Primary

Addresses

Primary practice location

3220 W 57TH St
Suite 115
Sioux Falls, SD 57108-3145

Mailing address

3220 W 57TH St
Suite 115
Sioux Falls, SD 57108-3145
Phone (605) 323-1320

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

LicenseStateTypeSpecialty
M959SDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912008517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W 57TH ST",
            "address_2": "SUITE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083145",
            "telephone_number": "605-323-1320",
            "fax_number": "605-323-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W 57TH ST",
            "address_2": "SUITE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083145",
            "telephone_number": "605-323-1320",
            "fax_number": "605-323-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARMAZIN",
        "first_name": "COREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.