Charles Ed Knight, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2163 Issued in AR

Practice address

9601 Lile Dr Ste 240
Little Rock, AR 72205-6342

Phone

(501) 224-3008

Fax

(501) 224-3009

NPI assigned

Aug 29, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 10, 2016 through Nov 10, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• C. Ed Knight, D.D.S., P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Little Rock, AR
  • NPI 1174816706
  Authorized official Same address or phone
• Arkansas Maxillofacial Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Bryant, AR
  • NPI 1467877969
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104935782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 LILE DR STE 240",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056342",
            "telephone_number": "501-224-3008",
            "fax_number": "501-224-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 LILE DR STE 240",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056342",
            "telephone_number": "501-224-3008",
            "fax_number": "501-224-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CHARLES",
        "middle_name": "ED",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE PROVIDER #",
            "identifier": "15086000040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "56262",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura R Knarr, WHNP-BC
• KND Development 59 LLC
• Andrew Sam Knecht
• Kenneth Richard Knecht, MD
• Annette Knight
• Daniel Knight, MD
• Delphine Knight
• Kasey Knight, LPC
• Katherine Knight, APRN
• Morgan Merriman Knight, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.