Edward Stafford Knight Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

255590 Issued in MS

Practice address

1025 Foote Street
Corinth, MS 38834

Phone

(662) 287-3156

Fax

(662) 287-3157

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

State licenses

Practice roles

Locations

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.

• Dental Arts of Corinth

  • General Practice Dentistry
  • Corinth, MS
  • NPI 1508029448
  NPD (past) Authorized official
• Iuka Family Dental, PLLC

  • Dental Clinic/Center
  • Iuka, MS
  • NPI 1851979868
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043376023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 FOOTE STREET",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-287-3156",
            "fax_number": "662-287-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 FOOTE STREET",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-287-3156",
            "fax_number": "662-287-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "EDWARD",
        "middle_name": "STAFFORD",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "255590",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000065295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060414",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• King Family Healthcare, Inc.
• King Speech-Language Therapy, LLC
• Ruth A King, SPEECH PATHOLOGIST
• Erika Cecelia Kinman, FNP
• Tuula Maarit Klaavuniemi
• Kyle Brandon Knight, D.O
• Sarah Knight, PHARM.D.
• Meghan Koger, BSW
• Shane Koler, DO
• Kossuth Family Health Clinic

• Dentist in Corinth, MS
• Providers in Corinth, MS by specialty
• Dentist in Mississippi

• 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.