Active NPI
R. Scott Knierim DDS
- General Practice Dentistry
- Charlottesville, VA
National Provider Identifier
1043499809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5008
- Legal business name
- R. SCOTT KNIERIM DDS
- Practice address
- 259 Hydraulic Ridge Rd
Charlottesville, VA 22901-8128 - Phone
- (434) 973-1222
- Fax
- (434) 973-2255
- NPI assigned
- Oct 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. R. Scott Knierim, DDS
- Title
- Dentist Owner
- Phone
- (434) 973-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5008 | VA | Primary |
Addresses
Primary practice location
259 Hydraulic Ridge Rd
Charlottesville, VA 22901-8128
Mailing address
259 Hydraulic Ridge Rd
Charlottesville, VA 22901-8128
Phone (434) 973-1222
Other names 1
- R. Scott Knierim DDS and Associates
National Provider Directory
National Provider DirectoryLocations
259 Hydraulic Ridge Rd
Charlottesville, VA 22901
Phone (434) 973-1222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1043499809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 HYDRAULIC RIDGE RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229018128",
"telephone_number": "434-973-1222",
"fax_number": "434-973-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 HYDRAULIC RIDGE RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229018128",
"telephone_number": "434-973-1222",
"fax_number": "434-973-2255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R. SCOTT KNIERIM DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-29",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "KNIERIM",
"authorized_official_first_name": "R.",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "434-973-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "5008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "R. Scott Knierim DDS and Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.