Individual provider Active NPI

Troy Lee Knaub, D.D.S

  • Dentist
  • Laramie, WY
National Provider Identifier
1093977878
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1200 Issued in WY
Practice address
100 S 6TH St
Laramie, WY 82070-3239
Phone
(307) 745-5020
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1200 WY Primary

Addresses

Primary practice location

100 S 6TH St
Laramie, WY 82070-3239

Mailing address

100 S 6TH St
Laramie, WY 82070-3239
Phone (307) 745-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20151207001517 WY Order and Referring Only - DentistPractitioner - Dentist 9739489238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Larame Dental Arts, PC Dentist Current Accepting new patients
Larame Dental Arts PC CurrentSince Feb 9, 2009 Accepting new patients

Locations

352 N 4th St
Laramie, WY 82072
Phone (307) 745-5020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10901/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1093977878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 6TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703239",
            "telephone_number": "307-745-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 6TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703239",
            "telephone_number": "307-745-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUB",
        "first_name": "TROY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WY",
            "license": "1200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.