Benjamin Thomas Knutzen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D0402 Issued in SD

Practice address

2311 Yorkshire Dr
Suite a
Brookings, SD 57006

Phone

(605) 692-9463

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benjamin T. Knutzen DDS, PC

  • Dental Clinic/Center
  • Brookings, SD
  • NPI 1730380536
  NPD (past) Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013928555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 YORKSHIRE DR",
            "address_2": "SUITE A",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-692-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 YORKSHIRE DR",
            "address_2": "SUITE A",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-692-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTZEN",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D0402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Klinkhammer, M.A., CCC-SLP
• Joshua James Klinkhammer, CRNA
• Kip A Kludt, PT
• Taylor Allen Kneip, OD
• Kenneth J Knudtson, MD
• Randy Lee Knutzen, DDS
• Megan Kobs, ATC
• Konard O. Hauffe, DDS, PC
• Curstie Konold
• Shanna Lynn Konz, CNP

• Dentist in Brookings, SD
• Providers in Brookings, SD by specialty
• Dentist in South Dakota

• 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.