Active NPI
Jeffrey Lamone Knight, D.D.S
- General Practice Dentistry
- Gautier, MS
National Provider Identifier
1073685830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- MS2876-95
- Practice address
- 3105 Shaw Dr.
Gautier, MS 39553 - Phone
- (228) 497-3111
- Fax
- (228) 497-3113
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | MS2876-95 | MS | Primary |
Addresses
Primary practice location
3105 Shaw Dr.
Gautier, MS 39553
Mailing address
3105 Shaw Dr.
P.O. Box 550
Gautier, MS 39553-0550
Phone (228) 497-3111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00660117 | Medicaid | MS | |
| MS2876-95 | Other | MS | MISSISSIPPI DENTAL LICENS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS2876-95 | MS | MD | General Practice Dentistry |
Networks
- LA PPO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073685830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 SHAW DR.",
"address_2": "P.O. BOX 550",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395530550",
"telephone_number": "228-497-3111",
"fax_number": "228-497-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 SHAW DR.",
"city": "GAUTIER",
"state": "MS",
"postal_code": "39553",
"telephone_number": "228-497-3111",
"fax_number": "228-497-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JEFFREY",
"middle_name": "LAMONE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "MS2876-95",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00660117",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI DENTAL LICENS",
"identifier": "MS2876-95",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gautier, MS
- Joseph Chance Keys, NP
- Belita Lanete King, BS, MS
- Pebbles M King, BS
- Lila Jo Kirkland, MASTERS IN COUNSELIN
- Elizabeth Joy Kittrell, B.S DEGREE-SOCIOLOGY
- Autumn Marie Krueger, BA
- Clare Lamey, BS
- Madelaine Antoinette Larsen, B.S.
- Sophia Janell Law, B.A. IN HUMAN SEV.
- Trinette M Law, B.S. OF PSYCHOLOGY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.