Organization Active NPI

Knecht and Wolf, DDS, P.C.

  • General Practice Dentistry
  • Owosso, MI
National Provider Identifier
1063709996
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KNECHT AND WOLF, DDS, P.C.
Practice address
222 N Park St
Owosso, MI 48867-3042
Phone
(989) 725-7825
Fax
(989) 725-7570
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Dr. Roger William Knecht, DDS
Title
President
Phone
(989) 725-7825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

222 N Park St
Owosso, MI 48867-3042

Mailing address

222 N Park St
Owosso, MI 48867-3042
Phone (989) 725-7825

National Provider Directory

National Provider Directory

Locations

222 N Park St
Owosso, MI 48867
Phone (989) 725-7825

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1063709996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N PARK ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488673042",
            "telephone_number": "989-725-7825",
            "fax_number": "989-725-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N PARK ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488673042",
            "telephone_number": "989-725-7825",
            "fax_number": "989-725-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNECHT AND WOLF, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "KNECHT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-725-7825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.