Stephen B. Knoff, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

6821 Issued in WA

Practice address

12330 120TH Ave NE
Kirkland, WA 98034-6926

Phone

(425) 821-7979

Fax

(425) 821-0500

NPI assigned

Oct 12, 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 8, 2017 through Nov 8, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Knoff & Fettig, PS

  • Oral and Maxillofacial Pathology Dentistry
  • Kirkland, WA
  • NPI 1528155686
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043309164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346926",
            "telephone_number": "425-821-7979",
            "fax_number": "425-821-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346926",
            "telephone_number": "425-821-7979",
            "fax_number": "425-821-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOFF",
        "first_name": "STEPHEN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WA",
            "license": "6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Knapp, LMP
• Kneefootanklecenter, PLLC
• John Kneepkens, DNP
• Risa Knight
• Knoff & Fettig, PS
• Alex John Knutson, MD
• James Alan Knutson, M.D.
• Catherine Marie Kocarek, MD
• Angelika Theresia Koch-Leibmann, MD
• John F Koch, M.A., LMHC

• Oral and Maxillofacial Pathology Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Oral and Maxillofacial Pathology Dentistry in Washington

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

Verify at the official NPI Registry.