Anthony Knowlton DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN9242 Issued in CO

Legal business name

ANTHONY KNOWLTON DDS

Practice address

317 S Union Ave
Pueblo, CO 81003-3429

Phone

(719) 564-5833

NPI assigned

Oct 17, 2008

Last updated

Jan 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Lee KnowltonNPI 1861588683

Title

Dentist

Phone

(719) 564-5833

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony L Knowlton, DDS

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1861588683
  NPD Authorized official

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1073765301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S UNION AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033429",
            "telephone_number": "719-564-5833",
            "fax_number": "719-564-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S UNION AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033429",
            "telephone_number": "719-564-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY KNOWLTON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2022-01-11",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "KNOWLTON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-564-5833"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN9242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72903554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.